title: Post liver transplant tuberculosis.
abstract: We report on a patient diagnosed with disseminated (hepatic and pulmonary) tuberculosis in the context of immunosuppression following liver transplant. During the administration of anti-tuberculosis drugs an abrupt elevation of liver enzymes was detected leading us to suspect drug toxicity rather than graft rejection. Nevertheless, careful surveillance and adjustment of serum levels of immunosuppressant drugs permitted continuance of tuberculosis treatment with no further side effects.
authors.affiliation: Centro Hospitalar de Coimbra, Pulmunology, Quinta dos Vales, S. Martinho do Bispo, Coimbra, 3041-801, Portugal.
authors.forename: Luis Vaz
authors.initials: LV
authors.lastname: Rodrigues
authors.forename: Judit
authors.initials: J
authors.lastname: Gandara
authors.forename: João
authors.initials: J
authors.lastname: Pires
authors.forename: Raquel
authors.initials: R
authors.lastname: Duarte
authors.forename: Fernando
authors.initials: F
authors.lastname: Calvário
authors.forename: Miguel
authors.initials: M
authors.lastname: Dominguez
authors.forename: Aurora
authors.initials: A
authors.lastname: Carvalho
authors.forename: Rui
authors.initials: R
authors.lastname: Seca