Resection of a pulmonary lesion after liver transplantation: report of a case.
A 44-year-old Chinese-Indonesian man who underwent living-donor liver transplantation with a right liver graft presented 4 months later with a cough and fever. Chest X-ray showed a nodular shadow in the apex of the left lung, which was diagnosed as pulmonary tuberculosis. After 1 week of antituberculous chemotherapy, we performed a left upper lobectomy. Postoperative antituberculous chemotherapy, consisting of isoniazid (300 mg/day) and rifampin (450 mg/day), was continued for 4 months, and there has been no sign of recurrence for 1 year since the thoracotomy. This case supports the feasibility of surgery for localized pulmonary tuberculosis soon after transplantation.
Akamatsu
Nobuhisa
N
Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Japan.
Sugawara
Yasuhiko
Y
Nakajima
Jun
J
Kishi
Yoji
Y
Niiya
Takashi
T
Kaneko
Junichi
J
Makuuchi
Masatoshi
M
D000328:Adult; D006801:Humans; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D011013:Pneumonectomy; D014397:Tuberculosis, Pulmonary / Q000601:surgery*