S Rahmatulla
United Kingdom
Case Report
Esophageal Tuberculosis Infection in a Simultaneous Pancreas and Kidney Transplant Recipient
Author(s): S Rahmatulla, A Marshall, S Bhagani, GL Jones and DP GaleS Rahmatulla, A Marshall, S Bhagani, GL Jones and DP Gale
Solid organ transplant recipients are at increased risk of opportunistic infections, including tuberculosis, which may be caused by re-activation of latent disease or acquired de novo. Tuberculosis can affect any organ, present atypically, is diagnostically challenging and potentially fatal. Esophageal tuberculosis is generally rare, and usually secondary to infection in adjacent mediastinal structures. We report a case of esophageal tuberculosis in a simultaneous pancreas-kidney transplant recipient, who presented with symptoms of odynophagia, retrosternal chest pain, weight loss and dry cough, three years post-transplantation. Initial upper gastrointestinal endoscopy revealed non-specific inflammation but no identifiable cause. Repeat endoscopy revealed severe ulceration with a lower esophageal stricture. Multiple esophagealbiopsies taken demonstrated granulomatous inflammation, and.. View More»
