Ghosh A K, Verma P P, Jha V, Gupta K L, Sakhuja V, Chugh K S
Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Int J Artif Organs. 1993 Mar;16(3):132-4.
Cutaneous tuberculosis in renal allograft recipients is rare. A 33 year old recipient of a second renal allograft developed a painless ulcer on the left foot two months after surgery, followed by the appearance of a cold abscess in the left inguinal region. Smear from the pus aspirated from this abscess revealed acid fast bacilli, and biopsy from the edge of the ulcer showed an epithelioid cell granuloma with Langhans type of giant cells. X-ray of the chest revealed miliary mottling in both lung fields. Antitubercular therapy lead to a complete resolution of the tuberculous lesions.
肾移植受者的皮肤结核很罕见。一名33岁接受第二次肾移植的受者在术后两个月左脚出现无痛性溃疡，随后左腹股沟区出现冷脓肿。从该脓肿抽吸的脓液涂片显示抗酸杆菌，溃疡边缘活检显示上皮样细胞肉芽肿伴朗汉斯型巨细胞。胸部X线显示双肺野粟粒状斑点。抗结核治疗使结核病变完全消退。
