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  • Title: Cutaneous miliary tuberculosis in a renal transplant patient: a case report and literature review.
    Author: Yodmalai S, Chiewchanvit S, Mahanupab P.
    Journal: Southeast Asian J Trop Med Public Health; 2011 May; 42(3):674-8. PubMed ID: 21706946.
    Abstract:
    The incidence of tuberculosis in renal transplant recipients is higher than in the general population. However, the incidence of cutaneous miliary tuberculosis in these patients is very rare. We report a 56-year-old renal transplant Thai man admitted to the hospital with prolong fever, dry cough and multiple small erythematous papules on his extremities. A chest X-ray revealed diffuse miliary infiltration. Mycobacterium tuberculosis DNA was demonstrated in bronchoalveolar lavage fluid by polymerase chain reaction. Histopathology of a skin biopsy showed poorly formed noncaseating granulomatous inflammation in the lower dermis and was positive for many acid-fast bacilli. Miliary tuberculosis of the lung and skin were diagnosed. The respiratory symptom and the skin lesions improved after treatment with anti-tuberculous drugs.
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