title: Persistent mediastinal and axillary lymph node tuberculosis in a renal transplant patient with successful outcome.
abstract: Tuberculosis is an opportunistic infection that carries substantial morbidity and mortality in renal transplant recipients. We report here about a 21 year-old man with a living related renal transplant from his mother who developed persistent extra-pulmonary tuberculosis. The disease showed aggressive invasion to the axillary and mediastinal regions with abscess formations, despite standard antituberculosis treatment. During the course of the disease, immunosuppressive therapy was stopped, and the patient received extraordinary doses of multiple antituberculosis drugs. The patient then showed an uneventful course with good clinical and radiological responses.
authors.affiliation: Department of Nephrology, Gülhane School of Medicine, Etlik-Ankara, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Oguz
authors.forename: M I
authors.initials: MI
authors.lastname: Yilmaz
authors.forename: T
authors.initials: T
authors.lastname: Eyileten
authors.forename: K
authors.initials: K
authors.lastname: Caglar
authors.forename: M
authors.initials: M
authors.lastname: Yenicesu
authors.forename: A
authors.initials: A
authors.lastname: Kaya
authors.forename: M
authors.initials: M
authors.lastname: Tasar
authors.forename: M
authors.initials: M
authors.lastname: Saglam
authors.forename: L
authors.initials: L
authors.lastname: Doganci
authors.forename: B
authors.initials: B
authors.lastname: Gulec
authors.forename: K
authors.initials: K
authors.lastname: Oner
authors.forename: C
authors.initials: C
authors.lastname: Oktenli
authors.forename: A
authors.initials: A
authors.lastname: Vural
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D004334:Drug Administration Schedule; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods*; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D016030:Kidney Transplantation / Q000276:immunology*; D008198:Lymph Nodes / Q000382:microbiology; D008206:Lymphatic Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008477:Mediastinal Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D014376:Tuberculosis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000995:Antitubercular Agents; D007166:Immunosuppressive Agents