Disseminated tuberculosis in a renal transplant recipient: presentation as an anterior mediastinal mass.
A 26-year-old man who had had a successful cadaveric renal transplant six months previously was admitted for evaluation of fever and dysuria. Chest x-ray revealed a new left pleural effusion, bilateral nodular parenchymal densities, and an anterior mediastinal mass. A biopsy of the mediastinal mass to exclude concurrent malignancy and positive AFB stains from pleural fluid and urine confirmed a diagnosis of disseminated tuberculosis.
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D016030:Kidney Transplantation; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis*; D008481:Mediastinoscopy; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011183:Postoperative Complications / Q000175:diagnosis; D011859:Radiography; D014376:Tuberculosis / Q000175:diagnosis*
D000995:Antitubercular Agents; D007538:Isoniazid