Tubercular ileal perforation - atypical, acute presentation in a renal transplant recipient - a case report.
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Date
2013-10
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Abstract
Summary: Extrapulmonary tuberculosis (TB) is more common than pulmonary TB in immuno-suppressed renal transplant
recipients. Atypical presentation of TB and disseminated TB is known in transplant recipients. Usually intestinal TB presents
with pain abdomen, intermittent subacute intestinal obstruction, diarrhoea and/or constitutional symptoms like fever and
weight loss. Here we report a case of renal allograft recipient on regular hospital follow up, presented with acute abdomen with
no previous symptoms of fever, weight loss or abdominal symptoms and was diagnosed to have tubercular ileal perforation on
exploratory laporatomy and confirmed by histopathological examination. This patient succumbed to the illness due to sepsis
despite timely surgery, broad spectrum antibiotics and antitubercular therapy.
Description
Keywords
Renal transplant, Extrapulmonary TB, Ileal perforation
Citation
Kedlaya Prashant G, Subramanyam S G, H Raja, Divya P. Tubercular ileal perforation - atypical, acute presentation in a renal transplant recipient - a case report. Indian Journal of Tuberculosis. 2013 Oct; 60(4): 233-236.