Cutaneous and articular tuberculosis in a renal transplant recipient
Rev. Soc. Bras. Med. Trop
;
50(4): 565-567, July-Aug. 2017. graf
Article
in English
| LILACS
| ID: biblio-896997
ABSTRACT
Abstract Seven months after undergoing kidney transplantation, a 56-year-old woman presented with papules and ulcers in her right forearm. The patient received antibiotics for 8 months with limited improvement. Eleven months after symptom onset, she presented with acute arthritis in her left knee. Asynovial fluid culture yielded Mycobacterium tuberculosis, and a forearm ulcer biopsy showed granulomatous inflammation. After surgical fistulectomy and 12 months of tuberculosis treatment, she was cured. Chronic cutaneous ulcers and articular manifestations in TB are rare, but they should always be considered in the differential diagnosis for immunosuppressed patients. Surgical intervention and prolonged treatment might be necessary.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tuberculosis, Cutaneous
/
Tuberculosis, Osteoarticular
/
Kidney Transplantation
Limits:
Female
/
Humans
Language:
English
Journal:
Rev. Soc. Bras. Med. Trop
Journal subject:
Tropical Medicine
Year:
2017
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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