title: Isolated skin ulcers due to Mycobacterium tuberculosis in a renal allograft recipient.
abstract: BACKGROUND
  A 27-year-old male renal allograft recipient presented to hospital with isolated skin ulcers on both lower limbs. At presentation, he also had a low-grade continuous fever, malaise and anorexia.
  
  
  METHODS
  Physical examination, laboratory studies, histopathological examination of tissue biopsy samples from the ulcer edges and ulcer floor, culture of the biopsy tissue, chest radiograph, bone marrow biopsy, abdominal ultrasound, tuberculin skin test and examination of three early morning samples of gastric juice and urine for acid-fast bacilli.
  
  
  METHODS
  Isolated cutaneous ulcers caused by Mycobacterium tuberculosis.
  
  
  RESULTS
  Four-drug antituberculosis therapy with pyrazinamide, of loxacin, ethambutol and isoniazid.
authors.affiliation: Department of Nephrology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, India.
authors.forename: Rapur
authors.initials: R
authors.lastname: Ram
authors.forename: Shantveer
authors.initials: S
authors.lastname: Uppin
authors.forename: Guditi
authors.initials: G
authors.lastname: Swarnalatha
authors.forename: Madhav
authors.initials: M
authors.lastname: Desai
authors.forename: Megha
authors.initials: M
authors.lastname: Harke
authors.forename: Neela
authors.initials: N
authors.lastname: Prasad
authors.forename: Kaligotla V
authors.initials: KV
authors.lastname: Dakshinamurty
mesh_terms: D000328:Adult; D001706:Biopsy; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D016030:Kidney Transplantation; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D009894:Opportunistic Infections / Q000382:microbiology* / Q000473:pathology; D012883:Skin Ulcer / Q000382:microbiology* / Q000473:pathology; D014184:Transplantation, Homologous; D014382:Tuberculosis, Cutaneous / Q000150:complications* / Q000473:pathology