Miliary tuberculosis in a renal transplant patient

Mykolas Pavlauskas 2, Eglė Ašakienė 1, Indrė Maliukevičiūtė 1,2, Roberta Bagarauskytė 1,2

1 Vilnius University Hopsital Santaros Klinikos, Center of Nephrology and Renal Transplantation

2 Vilnius University, Faculty of Medicine



Various complications are common after renal transplantation as also the recipients are at a high risk of opportunistic infections. One of the leading infections following renal transplantation is tuberculosis. As it is relatively frequent among renal transplant patients, it is known to present with a wide variety of clinical manifestations, often involving various organs and may be potentially fatal. The authors of this study overview the case report of a 47-year-old patient, who suffers from a miliary tuberculosis involving pulmonary and gastrointestinal organs. The patient is a recipient of deceased kidney and was admitted to the hospital with a mind fewer and fatigue. This case report illustrates how unpredictable can a case of post-transplant ailment get and how difficult it is to diagnose such serious illness as tuberculosis. Also the review of literature on miliary tuberculosis and its clinical presentation is reported.

Keywords: nephrology, renal transplantation, miliary tuberculosis.