Benítez CER, Portilla FVH, Salinas GM, Flores GJP, González GA, Bazán BA

Language: Spanish
References: 13
Page: 56-59
PDF size: 127.87 Kb.

ABSTRACT

Introduction. In the last years the frequency of outside-lung tuberculosis has increased by several factors. Principally the infection due to human immunodeficiency virus, chronic renal diseases and immunosuppression. therapy. Tuberculosis (Tb) in post-operated renal transplant recipient is not common. Objective. To inform the case of tuberculosis in a renal transplant recipient. Methods. We report the case of a woman of 27 years old, who presented acute abdominal pain after three years of the renal transplant. We show intra-abdominal infection provocated by intestinal tuberculosis that causes several intestinal perforations that require many surgical procedures due to the intra abdominal collection and several intestinal perforations. The histopatology report shows granular injuries and compatible bacillus with the intestinal tuberculosis. The medication for the Tb can not be installed because the bowel had many lesions. The patient developed septic shock and she died. Conclusions. The intestinal tuberculosis is a frequent pathology in countries where the disease is endemic. However in our country reappears in patients with immunosuppression regimens as in the case of the renal transplant recipient. Tuberculosis intestinal diagnostic is difficult and is a cause of acute abdomen. It should be known as a possible cause of infection in a renal transplant recipient.

REFERENCES

1. Rosengart TK, Coopa G. Abdominal mycobacterial infections in immunocompromised patients. Am J Surg 1990; 159: 125-31.

2. Villanueva SE, Martinez HP, Alvarez TJ, et al. Colonia Tuberculosis Digestive Diseases 2002; 47(9): 2045-8.

3. Feriozzi S, Meschini L, Constantini S, et al. Fatal intestinal tuberculosis in a uremia patient with a renal transplant. J Nephrol 2002; 15: 593-6.

4. Sayiner A, Ece T, Duman S, et al. Tuberculosis in renal transplant recipients. Transplantation 1999; 68(9): 1268-71.

5. Queipo JA, Broseta E, Santos M, et al. Mycobacterial infection in a series of 1261 renal transplant recipients. Clin Microbio Infect 2003; 9(6): 518-25.

6. Abrams JS, Holden WD. Tuberculosis of gastrointestinal tract. Arch Surg 1964; 89: 282-93.

7. Brandt MM, Bogner PN, Franklin GA. Intestinal tuberculosis presenting as a bowel obstruction. Am J Surg 2002; 183: 290-1.

8. Mazen IN, Hussein HO, Hadi AG, et al. Primary duodenal and jejunal tuberculosis. Report of two cases. Gastr Endosc 2002; 55(6): 752-4.

9. Marshall JB. Tuberculosis of the gastrointestinal tract and peritoneum. Am J Gastroenterol 1993; 88: 989-99.

10. Ken-ichi T, Hideki K, Mitsuo L, et al. Colonic aphthoid erosions as the only manifestation of tuberculosis: case report, Gastrointest Endosc 2002; 55(6): 743-5.

11. Kukura S, Viklicky O, Rudis J et al. An unusual manifestation of tuberculosis in a female patient after kidney transplantation. Case report. VNITR Lek 2003; 49(1): 25-6.

12. Klim KM, Lee A, Choi KY, et al. Intestinal tuberculosis: clinic pathologic analysis and diagnosis by endoscopy biopsy. Am J Gastroenterol 1998; 93: 606-9.

13. Balasubramain R, Nagarajan M, et al. Randomized controlled clinical trial of short course chemotherapy in abdominal tuberculosis: a five-year report. Int J Tuberc Lung Dis 1997; 1: 44-51.