eISSN: 1896-9151
ISSN: 1734-1922
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3/2009
vol. 5
 
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Case report
Extrapulmonary tuberculosis following allogeneic stem cell transplantation – a difficult and late diagnosis

Agnieszka Tomaszewska
,
Barbara Nasiłowska-Adamska
,
Monika Prochorec-Sobieszek
,
Kazimierz Hałaburda
,
Andrzej Szczepiński
,
Bożena Mariańska

Arch Med Sci 2009; 5, 3: 489-491
Online publish date: 2009/10/22
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Tuberculosis, especially with the extrapulmonary manifestation, is usually not considered as the first line in the differential diagnosis in patients after stem cell transplantation. We report a case of a 54-year old man after reduced intensity conditioning regimen allogeneic stem cell transplantation, without known personal or family history of tuberculosis, who presented knee joint, skin and bone marrow involvement by a Mycobacterium tuberculosis infection. A delay from the onset of the first symptoms to the confirmed diagnosis of tuberculosis was about 2 months in this case. Despite this delay, our patient successfully recovered after 4-tuberculostatics followed by 2-tuberculostatics therapy.
keywords:

extrapulmonary tuberculosis, acute leukemia, transplantation
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