Official Sections CTRMS ISVCA IPITA IPTA ISODP IRTA IXA SPLIT TID

2014 - Transplant Infectious Disease Conference


This page contains exclusive content for the member of the following sections: TTS, TID

Pesky Pathogens: Mycobacteria and Fungi

2.2 - TB and SOT in a heavily endemic region, and thoughts for less endemic regions

Presenter: Sang-Oh, Lee, Seoul, Korea
Authors: Sang-Oh Lee

Solid organ transplant (SOT) recipients have a significantly increased risk of developing infection with Mycobacterium tuberculosis compared with the general population. In a large Spanish cohort (RESITRA), the incidence of tuberculosis (TB) was 27-fold higher in SOT recipients than in the general population. It is difficult to recognize active TB in SOT recipients, since symptoms are often attenuated and the clinical presentations atypical. In a French multicenter retrospective cohort, 31% of all active TB cases after kidney transplantation (KT) were disseminated or 67% occurred at extra-pulmonary sites, compared to only about 20% of cases in normal hosts. Impediments to rapid and accurate diagnosis may lead to treatment delay. Therefore screening for latent tuberculosis infection (LTBI) in SOT candidates is important to prevent active TB diseases after transplantation.


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