title: Tuberculosis presenting as acute hepatitis in a renal transplant recipient.
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 tuberculosis 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.
authors.affiliation: Department of Nephrology, Dialysis and Transplantation, Hôpital Erasme, Brussels, Belgium.
authors.forename: O
authors.initials: O
authors.lastname: Mat
authors.forename: D
authors.initials: D
authors.lastname: Abramowicz
authors.forename: M O
authors.initials: MO
authors.lastname: Peny
authors.forename: M
authors.initials: M
authors.lastname: Struelens
authors.forename: J M
authors.initials: JM
authors.lastname: Doutrelepont
authors.forename: M
authors.initials: M
authors.lastname: Adler
authors.forename: L
authors.initials: L
authors.lastname: De Pauw
authors.forename: J L
authors.initials: JL
authors.lastname: Vanherweghem
authors.forename: P
authors.initials: P
authors.lastname: Kinnaert
authors.forename: P
authors.initials: P
authors.lastname: Vereerstraeten
mesh_terms: D000208:Acute Disease; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006509:Hepatitis B / Q000175:diagnosis* / Q000276:immunology; D006526:Hepatitis C / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
chemical_list: D000995:Antitubercular Agents