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Tuberculosis presenting as acute hepatitis in a renal transplant recipient |
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| Authors: | Olivier Mat Daniel Abramowicz Marie-Odile Peny Marc Struelens Jean-Marc Doutrelepont Michael Adler Luc De Pauw Jean-Louis Vanherweghem Paul Kinnaert Pierre Vereerstraeten |
| Affiliation: | (1) Department of Nephrology, Dialysis and Transplantation, Hôpital Erasme, Route de Lennik 808, B-1070 Brussels, Belgium;(2) Department of Pathology, Hôpital Erasme, Route de Lennik 808, B-1070 Brussels, Belgium;(3) Department of Microbiology, Hôpital Erasme, Route de Lennik 808, B-1070 Brussels, Belgium;(4) Department of Gastroenterology, Hôpital Erasme, Route de Lennik 808, B-1070 Brussels, Belgium |
| Abstract: | We observed a kidney transplant recipient in whom acute hepatitis was the initial manifestation of tuberculosis, preceding radiological lung involvement by several weeks. The diagnosis was suspected and treatment initiated based on the finding of a granulomatous hepatitis on liver biopsy. Mycobacterial, tuberulosis was grown and identified first in liver samples and only later in sputum and bone marrow. This case illustrates the protean manifestations of tuberculosis in immunosuppressed patients. |
| Keywords: | Kidney transplantation tuberculosis |
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