Multiple intracranial tuberculomas in a post-kidney transplant patient

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
Davood YadegaryniaZahra Sadat Seghatoleslami

Abstract

Tuberculosis (TB) is a serious public health problem worldwide, particularly in developing countries. The most common presentation of TB is the pulmonary form; however, extrapulmonary manifestations are not uncommon, particularly in the immunocompromised patients. TB of the central nervous system is the most severe extrapulmonary presentation. We report a post-kidney transplant patient who had multiple ring-like lesions on contrast-enhanced magnetic resonance imaging (MRI). Based on the results of MRI and biopsy specimen, the patient was diagnosed with multiple intracranial tuberculomas. He was treated successfully with a standard quadruple therapy of rifampicin, isoniazid, ethambutol and pyrazinamide.

References

Sep 6, 2000·American Journal of Nephrology·T VachharajaniA Kirpalani
Jun 29, 2001·Transplant Infectious Disease : an Official Journal of the Transplantation Society·N Singh, S Husain
Jan 5, 2002·Neurologic Clinics·Joseph R Zunt
Oct 29, 2004·The New England Journal of Medicine·Diederik van de BeekMarinus Vermeulen
Apr 11, 2008·Clinical Microbiology Reviews·R Bryan RockPhillip K Peterson
Jun 30, 2012·Journal of Medical Case Reports·Thashi ChangInoshi Atukorala

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Citations

Apr 16, 2018·Clinical Transplantation·Cybele Lara R Abad, Raymund R Razonable

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