Primary tuberculosis of the graft masquerading pyogenic liver abscess in a pediatric liver recipient. Issue 3 (6th December 2020)

• Record Type: Journal Article
• Authors: Menon, Jagadeesh; Miraje, Bhushan; Patel, Kinisha; Vij, Mukul; Hakeem, Abdul; Devarajan, Vidyalakshmi; Shanmugam, Naresh; Srinivas Reddy, Mettu; Rela, Mohamed
• Is Part Of: Transplant infectious disease. Volume 23:Issue 3(2021)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-12-06
• Subjects: antituberculosis therapy -- graft abscesses -- liver transplantation -- Mycobacterium tuberculosis; Transplantation of organs, tissues, etc -- Complications -- Periodicals; Communicable diseases -- Periodicals; Infection -- Periodicals; 617.01
• DOI: 10.1111/tid.13533
• Languages: English
• ISSNs: 1398-2273

Abstract

Abstract: Primary tuberculosis (TB) of the graft presenting as multiple liver abscesses is previously unreported. A 14‐month‐old male child in the early post liver transplant (LT) period presented with high‐grade fever spikes and on evaluation was found to have multiple pyogenic liver abscesses (PLA) in the CT abdomen. His fever was not responding to intravenous antibiotics and liver biopsy was done which showed numerous acid fast bacilli. Genetic analysis confirmed the bacilli as Mycobacterium tuberculosis (MTB). Timely diagnosis and prompt introduction of antituberculosis therapy were lifesaving.