Yıl: 2023 Cilt: 32 Sayı: 3 Sayfa Aralığı: 264 - 268 Metin Dili: İngilizce DOI: 10.5152/turkjnephrol.2023.2267345 İndeks Tarihi: 24-07-2023

An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack

Öz:
The frequency of tuberculosis in organ transplant recipients has not been clearly determined and varies according to geographical distribution. However, the incidence has been considerably higher in organ transplant recipients than in the healthy population. Tuberculosis may have an atypical presentation in immunocompromised hosts, which can delay the diagnosis. Also, tuberculosis leads to alteration in immunosuppressive treatments, such as drug interaction or dis continuation. In this case, we present a kidney transplant recipient with joint pain in the right hand and wrist. Her pain was refractory to analgesics and steroid therapy. Tenosynovitis was detected by radiological examination. Subsequently, miliary tuberculosis diagnosis was established through the onset of respiratory symptoms during hospitalization. The diag nosis was based on thoracic tomographic findings and molecular tests. The arthralgias resolved after the administration of tuberculosis therapy.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Shu CC, Tsai MK, Lin SW, Wang JY, Yu CJ, Lee CY. Latent tubercu losis infection increases in kidney transplantation recipients com pared with transplantation candidates: a neglected perspective in tuberculosis control. Clin Infect Dis. 2020;71(4):914-923. [CrossRef]
  • 2. Subramanian A, Morris M. Practice AIDCo. Mycobacterium tuber culosis infections in solid organ transplantation. Am J Transplant. 2013;13(s4):68-76.
  • 3. Sharma SK, Mohan A, Sharma A, Mitra DK. Miliary tuberculosis: new insights into an old disease. Lancet Infect Dis. 2005;5(7):415- 430. [CrossRef]
  • 4. Lin JN, Lai CH, Chen YH, et al. Risk factors for extra-pulmonary tuberculosis compared to pulmonary tuberculosis. Int J Tuberc Lung Dis. 2009;13(5):620-625.
  • 5. Briggs JD. Causes of death after renal transplantation. Nephrol Dial Transplant. 2001;16(8):1545-1549. [CrossRef]
  • 6. Muñoz P, Rodríguez C, Bouza E. Mycobacterium tuberculosis infec tion in recipients of solid organ transplants. Clin Infect Dis. 2005;40(4):581-587. [CrossRef]
  • 7. Singh N, Paterson DL. Mycobacterium tuberculosis infection in solid-organ transplant recipients: impact and implications for management. Clin Infect Dis. 1998;27(5):1266-1277. [CrossRef]
  • 8. Yang Z, Kong Y, Wilson F, et al. Identification of risk factors for extrapulmonary tuberculosis. Clin Infect Dis. 2004;38(2):199-205. [CrossRef]
  • 9. De Jong JW, Van Altena R. Non-respiratory tuberculosis with Mycobacterium tuberculosis after penetrating lesions of the skin: five case histories. Int J Tuberc Lung Dis. 2000;4(12):1184-1187.
  • 10. Suwannaphisit S, Ranong NN. Tuberculous tenosynovitis of the flexor tendons of the hand and wrist: a case report and mini-review. Ann Med Surg (Lond). 2020;57:249-252. [CrossRef]
  • 11. Hassanpour SE, Gousheh J. Mycobacterium tuberculosis–induced carpal tunnel syndrome: management and follow-up evaluation. J Hand Surg Am. 2006;31(4):575-579. [CrossRef]
  • 12. Jaovisidha S, Chen C, Ryu KN, et al. Tuberculous tenosynovitis and bursitis: imaging findings in 21 cases. Radiology. 1996;201(2):507- 513. [CrossRef]
  • 13. Subramanian AK, Theodoropoulos NM, Infectious Diseases Com munity of Practice of the American Society of Transplantation. Mycobacterium tuberculosis infections in solid organ transplanta tion: guidelines from the infectious diseases community of practice of the American Society of Transplantation. Clin Trans plant. 2019;33(9):e13513. [CrossRef]
  • 14. Chen CH, Lian JD, Cheng CH, Wu MJ, Lee WC, Shu KH. Mycobacte rium tuberculosis infection following renal transplantation in Tai wan. Transpl Infect Dis. 2006;8(3):148-156. [CrossRef]
  • 15. Aguado JM, Torre-Cisneros J, Fortún J, et al. Tuberculosis in solid organ transplant recipients: consensus statement of the group for the study of infection in transplant recipients (GESITRA) of the Spanish Society of Infectious Diseases and Clinical Microbiology. Clin Infect Dis. 2009;48(9):1276-1284. [CrossRef]
  • 16. Holty JEC, Gould MK, Meinke L, Keeffe EB, Ruoss SJ. Tuberculosis in liver transplant recipients: a systematic review and meta-anal ysis of individual patient data. Liver Transpl. 2009;15(8):894-906. [CrossRef]
APA yılmaz t, Uysal C, Ödev M, KOÇYİĞİT İ, Oymak O (2023). An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. , 264 - 268. 10.5152/turkjnephrol.2023.2267345
Chicago yılmaz tuğba,Uysal Cihan,Ödev Mehmet Fatih,KOÇYİĞİT İsmail,Oymak Oktay An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. (2023): 264 - 268. 10.5152/turkjnephrol.2023.2267345
MLA yılmaz tuğba,Uysal Cihan,Ödev Mehmet Fatih,KOÇYİĞİT İsmail,Oymak Oktay An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. , 2023, ss.264 - 268. 10.5152/turkjnephrol.2023.2267345
AMA yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. . 2023; 264 - 268. 10.5152/turkjnephrol.2023.2267345
Vancouver yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. . 2023; 264 - 268. 10.5152/turkjnephrol.2023.2267345
IEEE yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O "An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack." , ss.264 - 268, 2023. 10.5152/turkjnephrol.2023.2267345
ISNAD yılmaz, tuğba vd. "An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack". (2023), 264-268. https://doi.org/10.5152/turkjnephrol.2023.2267345
APA yılmaz t, Uysal C, Ödev M, KOÇYİĞİT İ, Oymak O (2023). An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. Turkish journal of nephrology (Online), 32(3), 264 - 268. 10.5152/turkjnephrol.2023.2267345
Chicago yılmaz tuğba,Uysal Cihan,Ödev Mehmet Fatih,KOÇYİĞİT İsmail,Oymak Oktay An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. Turkish journal of nephrology (Online) 32, no.3 (2023): 264 - 268. 10.5152/turkjnephrol.2023.2267345
MLA yılmaz tuğba,Uysal Cihan,Ödev Mehmet Fatih,KOÇYİĞİT İsmail,Oymak Oktay An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. Turkish journal of nephrology (Online), vol.32, no.3, 2023, ss.264 - 268. 10.5152/turkjnephrol.2023.2267345
AMA yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. Turkish journal of nephrology (Online). 2023; 32(3): 264 - 268. 10.5152/turkjnephrol.2023.2267345
Vancouver yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack. Turkish journal of nephrology (Online). 2023; 32(3): 264 - 268. 10.5152/turkjnephrol.2023.2267345
IEEE yılmaz t,Uysal C,Ödev M,KOÇYİĞİT İ,Oymak O "An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack." Turkish journal of nephrology (Online), 32, ss.264 - 268, 2023. 10.5152/turkjnephrol.2023.2267345
ISNAD yılmaz, tuğba vd. "An Atypical Presentation of Tuberculosis in a Kidney Transplant Recipient with Tenosynovitis Attack". Turkish journal of nephrology (Online) 32/3 (2023), 264-268. https://doi.org/10.5152/turkjnephrol.2023.2267345