title: Cutaneous miliary tuberculosis in a renal transplant patient: a case report and literature review.
abstract: The incidence of tuberculosis in renal transplant recipients is higher than in the general population. However, the incidence of cutaneous miliary tuberculosis in these patients is very rare. We report a 56-year-old renal transplant Thai man admitted to the hospital with prolong fever, dry cough and multiple small erythematous papules on his extremities. A chest X-ray revealed diffuse miliary infiltration. Mycobacterium tuberculosis DNA was demonstrated in bronchoalveolar lavage fluid by polymerase chain reaction. Histopathology of a skin biopsy showed poorly formed noncaseating granulomatous inflammation in the lower dermis and was positive for many acid-fast bacilli. Miliary tuberculosis of the lung and skin were diagnosed. The respiratory symptom and the skin lesions improved after treatment with anti-tuberculous drugs.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
authors.forename: Songadul
authors.initials: S
authors.lastname: Yodmalai
authors.forename: Siri
authors.initials: S
authors.lastname: Chiewchanvit
authors.forename: Pongsak
authors.initials: P
authors.lastname: Mahanupab
mesh_terms: D000995:Antitubercular Agents / Q000008:administration & dosage; D001992:Bronchoalveolar Lavage Fluid / Q000382:microbiology; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D011859:Radiography; D013785:Thailand; D014382:Tuberculosis, Cutaneous / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D014391:Tuberculosis, Miliary / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*
chemical_list: D000995:Antitubercular Agents