© 2004 BMJ Publishing Group Ltd & British Thoracic Society
CASE REPORT
Multidrug resistant tuberculosis following lung transplantation: treatment with pulmonary resection
1 Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
2 Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Correspondence to:
Correspondence to:
Dr M R Kramer
Pulmonary Institute, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49 100, Israel; kramerm{at}netvision.net.il
Recipients of organ transplants are at increased risk for infection owing to their immunosuppressed state and the possibility of contamination of the donor organ. We report a case of multidrug resistant tuberculosis (MDR) transmission via a donor lung. After medical treatment with four drugs had failed, the patient underwent right upper lobectomy. There were no signs of disease on follow up more than 2 years later. To our knowledge, this is the first report of MDR tuberculosis in a lung transplant recipient. The need for a non-conservative approach, including pulmonary resection, to eradicate the infection is emphasised.
Keywords: tuberculosis; lung transplantation; pulmonary resection
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