Menon J, Miraje B, Patel K, Vij M, Hakeem A, Devarajan V, Shanmugam N, Srinivas Reddy M, Rela M. Primary tuberculosis of the graft masquerading pyogenic liver abscess in a pediatric liver recipient.
Transpl Infect Dis 2020;
23:e13533. [PMID:
33280197 DOI:
10.1111/tid.13533]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 10/21/2020] [Accepted: 11/22/2020] [Indexed: 11/28/2022]
Abstract
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.
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