title: [Tuberculosis after organ transplantation: clinical analysis and literature review].
abstract: OBJECTIVE
  To describe the clinical features, diagnosis and treatment of tuberculosis after organ transplantation.
  
  
  METHODS
  The clinical data of 25 cases of tuberculosis after organ transplantation were retrospectively analyzed.
  
  
  RESULTS
  Sixty-eight percent of the patients presented only mild symptoms. Fever, cough, malaise and chest tightness were among the most common manifestations. Pulmonary tuberculosis, pleurisy, miliary lesions, lymph node disease, and kidney tuberculosis were common. Involvement of two organs were present in 72% (18/25) of the patients. Radiology showed soft lesions, miliary nodules, pleural effusion, hilar and mediastinal lymphadenopathy. Bacteriology and histology were used to confirm the diagnosis in most cases. The average time from presentation to diagnosis was 38 d. The effective rate of therapy was 76% (19/25).
  
  
  CONCLUSIONS
  More attention should be paid to tuberculosis after organ transplantation and immunosuppression. Prompt diagnosis and treatment are important measures to reduce the mortality.
authors: Research Institute of Tuberculosis of Secondary Affiliated Hospital, PLA General Hospital, Beijing 100091, China.
authors: Wei
authors: W
authors: Wang
authors: An-sheng
authors: AS
authors: Wang
authors: Zhong-yuan
authors: ZY
authors: Wang
authors: Jin-he
authors: JH
authors: Wang
authors: Ming-gui
authors: MG
authors: Lin
authors: Tao
authors: T
authors: Zhang
authors: Jing
authors: J
authors: Li
authors: Hui-ru
authors: HR
authors: An
authors: Yan-feng
authors: YF
authors: Li
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D016377:Organ Transplantation; D012189:Retrospective Studies; D014376:Tuberculosis / Q000209:etiology*
chemical_list: D007166:Immunosuppressive Agents