title: Multiple intracranial tuberculomas in a post-kidney transplant patient.
abstract: Tuberculosis (TB) is a serious public health problem worldwide, particularly in developing countries. The most common presentation of TB is the pulmonary form; however, extrapulmonary manifestations are not uncommon, particularly in the immunocompromised patients. TB of the central nervous system is the most severe extrapulmonary presentation. We report a post-kidney transplant patient who had multiple ring-like lesions on contrast-enhanced magnetic resonance imaging (MRI). Based on the results of MRI and biopsy specimen, the patient was diagnosed with multiple intracranial tuberculomas. He was treated successfully with a standard quadruple therapy of rifampicin, isoniazid, ethambutol and pyrazinamide.
authors.forename: Davood
authors.initials: D
authors.lastname: Yadegarynia
authors.affiliation: Infectious Disease and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Internal Medicine, Faculty of Medical Sciences, University of Duhok, Azadi Hospital Street, Dohuk, Kurdistan, Iraq, .
authors.forename: Muayad A
authors.initials: MA
authors.lastname: Merza
authors.forename: Shahnaz
authors.initials: S
authors.lastname: Sali
authors.forename: Zahra Sadat
authors.initials: ZS
authors.lastname: Seghatoleslami
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents