title: Liver transplant in a patient with active pulmonary tuberculosis.
abstract: OBJECTIVE
  Immunosuppressive treatment generally increases the severity of active infection. Therefore, liver transplant is contraindicated in the presence of active tuberculosis. Despite the importance of supportive treatment, liver transplant is the only treatment for fulminant hepatic failure.
  
  
  METHODS
  We report a case of successful liver transplant for fulminant hepatic failure in the presence of active tuberculosis infection.
  
  
  RESULTS
  We immediately performed a liver transplant from a live donor. The patient received low-dose immunosuppressive treatment and antituberculosis treatment. The patient was cured and discharged on the 25th day after surgery. We stopped antituberculosis treatment 10 months after discharge. The patient has been followed for 32 months after transplant with normal graft function and has been free of pulmonary tuberculosis infection.
  
  
  CONCLUSIONS
  Liver transplant can be performed in cirrhotic patients with active infections, such as tuberculosis, as a life-saving procedure.
authors: Department of Organ Transplantation, Istanbul Memorial Hospital, Istanbul, Turkey. yyankol@yahoo.com
authors: Yucel
authors: Y
authors: Yankol
authors: Serdar
authors: S
authors: Topaloglu
authors: Burak
authors: B
authors: Kocak
authors: Turan
authors: T
authors: Kanmaz
authors: Servet
authors: S
authors: Alan
authors: Koray
authors: K
authors: Acarli
authors: Munci
authors: M
authors: Kalayoglu
mesh_terms: D000995:Antitubercular Agents / Q000008:administration & dosage; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D017114:Liver Failure, Acute / Q000150:complications / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents; D007166:Immunosuppressive Agents