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Cutaneous and articular tuberculosis in a renal transplant recipient
Moyses-Neto, Miguel; Drumond, Daniel; Morgantetti, Giuliano; Garcia, Tania Maria Pisi; Bolella, Valdes Roberto; Romao, Elen Almeida.
  • Moyses-Neto, Miguel; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
  • Drumond, Daniel; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
  • Morgantetti, Giuliano; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
  • Garcia, Tania Maria Pisi; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
  • Bolella, Valdes Roberto; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
  • Romao, Elen Almeida; Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. Divisão de Nefrologia. Ribeirão Preto. BR
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.
Subject(s)


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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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