Post liver transplant tuberculosis | Zendy

Luís Vaz Rodrigues | Zendy; Jesús SimalGándara | Zendy; J. Pirès | Zendy; Raquel Duarte | Zendy; Fernando Calvário | Zendy; M Perez Dominguez | Zendy; A. Carvalho | Zendy; R. Seca | Zendy

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Post liver transplant tuberculosis

Author(s) -

Luís Vaz Rodrigues,

Jesús SimalGándara,

J. Pirès,

Raquel Duarte,

Fernando Calvário,

M Perez Dominguez,

A. Carvalho,

R. Seca

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.05.2009.1847

Subject(s) - medicine , immunosuppression , tuberculosis , context (archaeology) , liver transplantation , liver toxicity , liver enzyme , drug , pulmonary tuberculosis , intensive care medicine , toxicity , immunology , pharmacology , transplantation , pathology , paleontology , biology

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.

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