A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients

Tuberculosis is a disease relatively frequent in renal transplant patients, presenting a wide variety of clinical manifestations, often involving various organs and potentially fatal. Gastrointestinal tuberculosis, although rare in the general population, is about 50 times more frequent in renal tra...

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Main Authors: Pedro Azevedo, Cristina Freitas, Hugo Silva, Pedro Aguiar, Pedro Farrajota, Manuela Almeida, Sofia Pedroso, La Salete Martins, Leonídio Dias, José Ramón Vizcaíno, António Castro Henriques, António Cabrita
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2013/213273
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author Pedro Azevedo
Cristina Freitas
Hugo Silva
Pedro Aguiar
Pedro Farrajota
Manuela Almeida
Sofia Pedroso
La Salete Martins
Leonídio Dias
José Ramón Vizcaíno
António Castro Henriques
António Cabrita
author_facet Pedro Azevedo
Cristina Freitas
Hugo Silva
Pedro Aguiar
Pedro Farrajota
Manuela Almeida
Sofia Pedroso
La Salete Martins
Leonídio Dias
José Ramón Vizcaíno
António Castro Henriques
António Cabrita
author_sort Pedro Azevedo
collection DOAJ
description Tuberculosis is a disease relatively frequent in renal transplant patients, presenting a wide variety of clinical manifestations, often involving various organs and potentially fatal. Gastrointestinal tuberculosis, although rare in the general population, is about 50 times more frequent in renal transplant patients. Intestinal tuberculosis has a very difficult investigational approach, requiring a high clinical suspicion for its diagnosis. Therapeutic options may be a problem in the context of an immunosuppressed patient, requiring adjustment of maintenance therapy. The authors report two cases of isolated gastro-intestinal tuberculosis in renal transplant recipients that illustrates the difficulty of making this diagnosis and a brief review of the literature on its clinical presentation, diagnosis, and therapeutic approach.
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institution Kabale University
issn 2090-6641
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Nephrology
spelling doaj-art-daa56f02c3f94a49ac8283d128e6971c2025-02-03T01:09:50ZengWileyCase Reports in Nephrology2090-66412090-665X2013-01-01201310.1155/2013/213273213273A Case Series of Gastrointestinal Tuberculosis in Renal Transplant PatientsPedro Azevedo0Cristina Freitas1Hugo Silva2Pedro Aguiar3Pedro Farrajota4Manuela Almeida5Sofia Pedroso6La Salete Martins7Leonídio Dias8José Ramón Vizcaíno9António Castro Henriques10António Cabrita11Department of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Pathology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Pathology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalDepartment of Nephrology, Centro Hospitalar do Porto, Santo António Hospital, 4099-001 Porto, PortugalTuberculosis is a disease relatively frequent in renal transplant patients, presenting a wide variety of clinical manifestations, often involving various organs and potentially fatal. Gastrointestinal tuberculosis, although rare in the general population, is about 50 times more frequent in renal transplant patients. Intestinal tuberculosis has a very difficult investigational approach, requiring a high clinical suspicion for its diagnosis. Therapeutic options may be a problem in the context of an immunosuppressed patient, requiring adjustment of maintenance therapy. The authors report two cases of isolated gastro-intestinal tuberculosis in renal transplant recipients that illustrates the difficulty of making this diagnosis and a brief review of the literature on its clinical presentation, diagnosis, and therapeutic approach.http://dx.doi.org/10.1155/2013/213273
spellingShingle Pedro Azevedo
Cristina Freitas
Hugo Silva
Pedro Aguiar
Pedro Farrajota
Manuela Almeida
Sofia Pedroso
La Salete Martins
Leonídio Dias
José Ramón Vizcaíno
António Castro Henriques
António Cabrita
A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
Case Reports in Nephrology
title A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
title_full A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
title_fullStr A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
title_full_unstemmed A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
title_short A Case Series of Gastrointestinal Tuberculosis in Renal Transplant Patients
title_sort case series of gastrointestinal tuberculosis in renal transplant patients
url http://dx.doi.org/10.1155/2013/213273
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