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Successful Treatment of Tuberculous and Nocardial Arthritis in a Hemodialysis Patient with Subsequent Kidney Transplant
Author(s) -
Mathew Renu,
Abraham Georgi,
Edwin Beulah,
Jayakumar V.R.,
Vijayaragavan P.V.
Publication year - 2003
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1046/j.1492-7535.2003.00028.x
Subject(s) - medicine , surgery , hemodialysis , immunosuppression , tuberculosis , arthritis , synovectomy , regimen , effusion , transplantation , kidney transplantation , rheumatoid arthritis , pathology
A 42‐year‐old physician on maintenance hemodialysis for chronic renal failure presented with intermittent fever and arthritis of the right knee. Synovectomy specimen of the right knee showed caseating granuloma, consistent with tuberculosis, which was successfully treated with a four‐drug regimen of anti‐tuberculous therapy. Subsequently, he had a recurrent effusion of the same joint, which on aspiration showed nocardial infection. He was treated with a combination therapy (sulfamethoxazole‐trimethoprim and amoxicillin) for four months. He underwent a successful living‐related transplant two months later, and was doing well on triple immunosuppression one year after transplantation.