Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Domej, W; Wirnsberger, GH; Zitta, S; Moore, D; Uranüs, S; Bogiatzis, A; Krejs, GJ.
Tuberculosis of the small bowel with perforation and hematogenous spread in a renal transplant recipient.
Z Gastroenterol. 1993; 31(6):401-404
(- Case Report)
Web of Science
PubMed
Google Scholar
- Führende Autor*innen der Med Uni Graz
- Domej Wolfgang
- Co-Autor*innen der Med Uni Graz
- Krejs Günter Josef
- Uranüs Selman
- Wirnsberger Gerhard
- Zitta Sabine
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- Abstract:
- A 41-year-old male was admitted because of acute abdomen. A flat plate of the abdomen suggested pneumoperitoneum and a chest X-ray an infiltrate in the right upper lobe. The patient was a renal allograft recipient and was on immunosuppressive therapy with azathioprine, cyclosporine and steroids. At laparatomy inflammatory thickening of the bowel wall was found in the terminal ileum with necrotic areas and two sites of perforation. The involved terminal ileum was removed together with a right hemicolectomy. The resected segment showed exudative ileal tuberculosis and fibrinous and purulent peritonitis. During the postoperative period rapid hematogenous spread of tuberculosis developed with progressive reduction of respiratory function followed by ARDS. Autopsy revealed tuberculosis in all organs including the transplanted kidney.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Bacteremia - immunology Bacteremia - pathology Bacteremia - surgery
- Humans -
- Ileal Diseases - immunology Ileal Diseases - pathology Ileal Diseases - surgery
- Ileum - pathology
- Immune Tolerance -
- Intestinal Perforation - immunology Intestinal Perforation - pathology Intestinal Perforation - surgery
- Kidney Failure, Chronic - immunology Kidney Failure, Chronic - pathology Kidney Failure, Chronic - surgery
- Kidney Transplantation - immunology Kidney Transplantation - pathology
- Male -
- Opportunistic Infections - immunology Opportunistic Infections - pathology Opportunistic Infections - surgery
- Peritoneum - pathology
- Peritonitis, Tuberculous - immunology Peritonitis, Tuberculous - pathology Peritonitis, Tuberculous - surgery
- Postoperative Complications - immunology Postoperative Complications - pathology Postoperative Complications - surgery
- Tuberculosis, Gastrointestinal - immunology Tuberculosis, Gastrointestinal - pathology Tuberculosis, Gastrointestinal - surgery
- Tuberculosis, Miliary - immunology Tuberculosis, Miliary - pathology Tuberculosis, Miliary - surgery
- Tuberculosis, Pulmonary - immunology Tuberculosis, Pulmonary - pathology Tuberculosis, Pulmonary - surgery