Multidrug resistant tuberculosis following lung transplantation: treatment with pulmonary resection.
Recipients of organ transplants are at increased risk for infection owing to their immunosuppressed state and the possibility of contamination of the donor organ. We report a case of multidrug resistant tuberculosis (MDR) transmission via a donor lung. After medical treatment with four drugs had failed, the patient underwent right upper lobectomy. There were no signs of disease on follow up more than 2 years later. To our knowledge, this is the first report of MDR tuberculosis in a lung transplant recipient. The need for a non-conservative approach, including pulmonary resection, to eradicate the infection is emphasised.
Shitrit
D
D
Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
Bendayan
D
D
Saute
M
M
Kramer
M R
MR
D000293:Adolescent; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D011183:Postoperative Complications / Q000188:drug therapy / Q000601:surgery*; D017211:Treatment Failure; D018088:Tuberculosis, Multidrug-Resistant / Q000188:drug therapy / Q000601:surgery*