TRANSMISSION OF TUBERCULOSIS BY KIDNEY TRANSPLANTATION

Abstract
Tuberculosis occured in 2 patients, each of whom received a kidney from the same cadaver donor whose CSF cultures grew Mycobacteria following organ donation. Although the degree of immunosuppression and graft function were similar in the recipients, 1 died of disseminated tuberculosis. Kidneys contaminated with certain pathogens, including Mycobacteria, should not be transplanted. Transplant recipients with tuberculosis require prompt antituberculous therapy, and may require transplant nephrectomy for persistent evidence of urinary tract tuberculosis.

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