Genitourinary tuberculosis - a rare presentation of a still frequent infection in renal transplant recipients

Abstract Mycobacterium tuberculosis infection in renal transplant recipients is associated with significant morbidity and mortality. Genitourinary tuberculosis is a less frequent presentation and a high level of suspicion is needed to avoid treatment delay. Management is challenging due to the inter...

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Bibliographic Details
Main Authors: Natacha Jardim Rodrigues, Laila Viana, Juliana B. Mansur, Hélio Tedesco-Silva, José Osmar Medina Pestana
Format: Article
Language:English
Published: Sociedade Brasileira de Nefrologia
Series:Brazilian Journal of Nephrology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000200224&lng=en&tlng=en
Description
Summary:Abstract Mycobacterium tuberculosis infection in renal transplant recipients is associated with significant morbidity and mortality. Genitourinary tuberculosis is a less frequent presentation and a high level of suspicion is needed to avoid treatment delay. Management is challenging due to the interaction of calcineurin inhibitors with antituberculous medications and the known side effects of these drugs, with higher prevalence in this population. The authors present a case of a renal transplant recipient with urinary and constitutional symptoms whom is diagnosed with tuberculosis after a prostatic biopsy in an already disseminated stage and develops hepatotoxicity to antituberculous therapy.
ISSN:2175-8239