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Multiple Tuberculomas Invading the Central Nervous System as a Paradoxical Reaction in a Kidney Transplantation Recipient

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Author(s)
Yaerim KimSang Pyo KimSeungyeup Han
Keimyung Author(s)
Kim, Sang PyoHan, Seung Yeup
Department
Dept. of Pathology (병리학)
Journal Title
Saudi Journal of Kidney Diseases and Transplantation
Issued Date
2018
Volume
29
Issue
3
Abstract
A paradoxical reaction during anti-tuberculosis (anti-TB) therapy is commonly reported in patients with human immunodeficiency virus (HIV). However, a similar reaction to anti-TB therapy can also occur in patients without HIV, especially in patients who have undergone solid organ transplantation. A 65-year-old woman who underwent kidney transplantation six months prior presented to our emergency room with progressive paraparesis. She had been diagnosed with drug-susceptible miliary TB and had undergone two weeks of treatment with anti-TB medication. Magnetic resonance imaging showed a spinal intramedullary mass and multiple intracranial nodules. The etiology of the lesions was confirmed as Mycobacterium tuberculosis. We report a paradoxical reaction of spinal intramedullary and multiple intracranial tuberculomas in a patient with miliary TB who had received appropriate treatment for more than two weeks.
Keimyung Author(s)(Kor)
김상표
한승엽
Publisher
School of Medicine (의과대학)
Citation
Yaerim Kim et al. (2018). Multiple Tuberculomas Invading the Central Nervous System as a Paradoxical Reaction in a Kidney Transplantation Recipient. Saudi Journal of Kidney Diseases and Transplantation, 29(3), 719–722. doi: 10.4103/1319-2442.235190
Type
Article
ISSN
1319-2442
Source
http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=3;spage=719;epage=722;aulast=Kim
DOI
10.4103/1319-2442.235190
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41361
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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