Author/Authors :
Abutaleb, Nasrulla North West Armed Forces Hospital - Department of Nephrology, Saudi Arabia , Obaideen, Abdulmunaem North West Armed Forces Hospital - Department of Radiology, Saudi Arabia , Hamza, Abdulmajeed North West Armed Forces Hospital - Department of Nephrology, Saudi Arabia , Zakaria, M North West Armed Forces Hospital - Department of Surgery, Saudi Arabia , Afifi, Hisham North West Armed Forces Hospital - Department of Surgery, Saudi Arabia , Fallata, Sammera North West Armed Forces Hospital - Department of Internal Medicine, Saudi Arabia , Younis, Seddiq North West Armed Forces Hospital - Department of Nephrology, Saudi Arabia , Adem, Muhalab North West Armed Forces Hospital - Department of Nephrology, Saudi Arabia
Abstract :
A 50-year-old ESRD who received LUR renal graft abroad. Since transplanted, he remained dependent on hemodialysis. The patient received steroid pulse therapy twice for rejecrion. Nonspecific bilateral lung infiltrate were noted on admission CXR, which stimulated the search for TB. The patient suddenly lost consciousness during his hospital stay. Intracranial hemorrhage was drained and tissue staining revealed heavy loads of tuberculus (TB) bacilli. The patient died two weeks later from septic shock with multi-organ failure.
Keywords :
Renal transplant , INH prophylaxis , intracranial hemorrhage , TB , aspergellosis , infective thyroiditis , immunosuppression , FK506 , perigraft hematoma
