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  • Title: Prevention and Management of Tuberculosis in Solid Organ Transplant Recipients.
    Author: Epstein DJ, Subramanian AK.
    Journal: Infect Dis Clin North Am; 2018 Sep; 32(3):703-718. PubMed ID: 30146031.
    Abstract:
    Solid organ transplant recipients are at an increased risk of tuberculosis and transplant candidates should be screened early in their evaluation with a detailed history, tuberculin skin test or tuberculosis interferon-gamma release assay, and chest radiograph. For latent tuberculosis treatment, isoniazid and rifamycin-based regimens have advantages and disadvantages; treatment decisions should be customized. Tuberculosis after solid organ transplantation generally occurs after months or years; early infections should raise the possibility of donor-derived infections. Tuberculosis diagnosis and treatment in solid organ transplant recipients may be complicated by protean manifestations, drug interactions, and adverse drug reactions.
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