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Primary tuberculosis of the graft masquerading pyogenic liver abscess in a pediatric liver recipient
Author(s) -
Me Jagadeesh,
Miraje Bhushan,
Patel Kinisha,
Vij Mukul,
Hakeem Abdul,
Devarajan Vidyalakshmi,
Shanmugam Naresh,
Srinivas Reddy Mettu,
Rela Mohamed
Publication year - 2021
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.13533
Subject(s) - medicine , pyogenic liver abscess , tuberculosis , liver abscess , mycobacterium tuberculosis , liver biopsy , surgery , antibiotics , biopsy , acid fast , abdomen , abscess , radiology , pathology , microbiology and biotechnology , biology , sputum
Primary tuberculosis (TB) of the graft presenting as multiple liver abscesses is previously unreported. A 14‐month‐old male child in the early post liver transplant (LT) period presented with high‐grade fever spikes and on evaluation was found to have multiple pyogenic liver abscesses (PLA) in the CT abdomen. His fever was not responding to intravenous antibiotics and liver biopsy was done which showed numerous acid fast bacilli. Genetic analysis confirmed the bacilli as Mycobacterium tuberculosis (MTB). Timely diagnosis and prompt introduction of antituberculosis therapy were lifesaving.