A Case Report of Lumbar Abscess in a Transplant Recipient: Is It Always What It Seems? |
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| Institution: | 1. Department of Gynecologic Oncology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey;2. Department of Gastrointestinal Surgery, Ankara City Hospital, University of Health Sciences, Ankara, Turkey;3. Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Ankara, Turkey;1. Hepato-Pancreato-Biliary Surgery, Saitama Medical University Saitama Medical Center, Kawagoe, Saitama, Japan;2. Department of Pathology, Saitama Medical University Saitama Medical Center, Kawagoe, Saitama, Japan;3. Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan;1. University of Utah Health, Salt Lake City, Utah;2. Adventist Health White Memorial, Los Angeles, California;3. Moffitt Cancer Center, Tampa, Florida;1. Department of Internal Medicine, Tri-Service General Hospital Songshan Branch, National Defense Medical Center, Taipei, Taiwan;2. Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan;3. Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan |
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| Abstract: | The percentage of solid organ transplant recipients who develop extrapulmonary or disseminated tuberculosis (TB) is higher than the general population. In countries where the disease is endemic, TB should always be considered a diagnostic possibility, and extrapulmonary disease should also be considered. We present the case of a kidney transplant patient who initially presented for an abscess in the left dorsolateral region and was ultimately diagnosed with pulmonary and extrapulmonary TB. With the initiation of antibacillary treatment, a drug interaction with immunosuppressants was verified, and rifampicin was maintained at a minimum dose with other antibacillary drugs at full dose, subsequently showing an improvement in the clinical picture. The adverse effects of TB treatment present great difficulty owing to the interactions of antibacillary drugs with immunosuppressants. Most patients with conventional treatment can be cured, so prompt diagnosis and treatment are important. |
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