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Case Reports
. 2018 Aug 29;18(1):431.
doi: 10.1186/s12879-018-3347-7.

A case report of mucocutaneous tuberculosis after orthotopic liver transplantation: a challenging diagnosis

Niccolò Riccardi  1 , Giovanni Cenderello  2 , Emanuele Borroni  3 , Mariangela Rutigliani  4 , Daniela Maria Cirillo  3
Affiliations
Case Reports

A case report of mucocutaneous tuberculosis after orthotopic liver transplantation: a challenging diagnosis

Niccolò Riccardi et al. BMC Infect Dis. .

Abstract

Background: Mycobacterium tuberculosis is responsible for high morbidity and mortality in immune-compromised hosts.

Case presentation: We present a rare case of cutaneous tuberculosis after orthotopic liver transplantation without involvement of any other organs.

Conclusion: TB risk-factors assessment, careful LTBI screening and treatment according to national guidelines, as well as a reduction in missed opportunity for prevention are necessary to avoid MTB related disease in fragile patients.

Keywords: Cutaneous tuberculosis; HCC; LTBI; OLT.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent for publication of their clinical details and clinical images was obtained from the patient (19 Dec 2017). A copy of the consent form is available for review by the Editor of this journal, it was submitted with the first version.

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
a Ulcerative lesion of the left lower lip as it appears at the first clinical visit at our outpatients department. b Ziehl-Neelsen staining showing Acid fast bacilli (AFB) in the patient’s sample. Smear scored 1+. c Subcutaneos granuloma: degenerate collagen is surrounded by a palisade of hystiocytes, lymphocites, fibroblasts and note of intensely eosinophilic necrobiosis (E&E × 20). d Complete resolution of the lesion after 6 month of treatment
See this image and copyright information in PMC

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