Gastrointestinal Tuberculosis in a Renal Transplant Recipient Presenting with Intestinal Perforation

authors:

avatar Massood Hosseinzadeh 1 , * , avatar Ghanbarali Raisjalali 2 , avatar Zahra Daneshyar 3

Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Assistant Professor of Pathology School of Allied Medical Sciences Yasuj University of Medical Sciences
Zahedan Journal of Research in Medical Sciences: Vol.14, issue 8; e93246
published online: September 24, 2012
article type: Case Report
received: December 24, 2011
accepted: September 16, 2012

how to cite: Hosseinzadeh M , Raisjalali G , Daneshyar Z . Gastrointestinal Tuberculosis in a Renal Transplant Recipient Presenting with Intestinal Perforation. Zahedan J Res Med Sci. 2012;14(8):e93246. 

Abstract

Normal 0 false false false EN-US X-NONE AR-SA Tuberculosis is more prevalent among renal transplant recipient than general population. Immunosuppressive drugs and corticosteroids are the most important causes of the disease. Although extra pulmonary tuberculosis constitute about 40% of the cases pulmonary tuberculosis is the most common clinical presentation. Isolated gastrointestinal tuberculosis is rare in these patients. This study presents a case of intestinal tuberculosis in a renal transplant recipient who died of intestinal perforation. Another interesting point of the case is development of tuberculosis after 18 years of transplantation. Previous studies showed the median interval of 18 months. The patient had received long-term immunosuppressive drugs as well as corticosteroid.

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References

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