title: Tuberculous meningitis in a lung transplanted patient.
abstract: A 57-year-old female lung transplant recipient developed tuberculosis after quadruple maintenance immunosuppression for acute cellular rejection with respiratory compromise. Deteriorating neurological status led to cerebral imaging and lumbar puncture, which showed Mycobacterium tuberculosis. Tuberculous meningitis with elevated intracranial pressure was treated for 2 weeks on a neurosurgical ward, and intensive care therapy was necessary for another 2 weeks. Complete neurological recovery was achieved after 3 months.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany. hiemann@dhzb.de
authors.forename: N E
authors.initials: NE
authors.lastname: Hiemann
authors.forename: S
authors.initials: S
authors.lastname: Grimmer
authors.forename: D
authors.initials: D
authors.lastname: Kemper
authors.forename: C
authors.initials: C
authors.lastname: Knosalla
authors.forename: R
authors.initials: R
authors.lastname: Hetzer
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D001921:Brain / Q000000981:diagnostic imaging / Q000382:microbiology; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension; D016040:Lung Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D009169:Mycobacterium tuberculosis; D011859:Radiography; D013129:Spinal Puncture; D015898:Tomography Scanners, X-Ray Computed; D014390:Tuberculosis, Meningeal / Q000175:diagnosis* / Q000000981:diagnostic imaging* / Q000382:microbiology
chemical_list: D000995:Antitubercular Agents