| 저자 |
Hayeon Park* 1, 2, Yaerim Kim1, 2, Sang Mok Yeo1, 2, Seong Sik Kang1, 2, Woo Yeong Park1, 2, Kyubok Jin1, 2, Seungyeup Han1, 2, Yoon Soo Hong3, Sung Bae Park1, 2 |
| 초록 |
Background: -
Methods: -
Results: Tuberculosis infection rates in transplantation recipients are reported about 50 times higher than in the general public. Most of them are pulmonary tuberculoses, central nervous system tuberculosis such as spinal intramedullary tuberculoma or intracranial tuberculoma is uncommon.
A 65-year-old woman who underwent kidney transplantation 6 months ago, visited emergency room, presenting progressive paraplegia. The magnetic resonance imaging showed a spinal intramedullary mass and multiple intracranial nodules. Surgical resection of spinal mass was performed and the lesion was confirmed as Mycobacterium tuberculosis histopathologically. Although she demonstrated positive to QuantiFERON test before transplantation, INH prophylaxis was not performed because she has no past history of tuberculosis.
There is no consensus about INH prophylaxis for positive to QuantiFERON test before transplantation. Because disseminated tuberculosis is fatal and can lead to serious complications, INH prophylaxis should be considered in kidney transplantation recipients with a positive QuantiFERON test.
Conclusion: - |