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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2007  |  Volume : 18  |  Issue : 4  |  Page : 594-598
Fatal Hemorrhagic Intracranial TB in a Renal Transplant Recipient despite INH Prophylaxis

1 Department of Nephrology, North West Armed Forces Hospital, Tabuk, Saudi Arabia
2 Department of Radiology, North West Armed Forces Hospital, Tabuk, Saudi Arabia
3 Department of Surgery, North West Armed Forces Hospital, Tabuk, Saudi Arabia
4 Department of Internal Medicine, North West Armed Forces Hospital, Tabuk, Saudi Arabia

Correspondence Address:
Nasrulla Abutaleb
Consultant Nephrologist, King Fahad Specialist Hospital, P.O. Box 15215, Dammam-31444
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

PMID: 17951949

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A 50-year-old ESRD who received LUR renal graft abroad. Since transplanted, he remained dependent on hemodialysis. The patient received steroid pulse therapy twice for rejecrion. Nonspecific bilateral lung infiltrate were noted on admission CXR, which stimulated the search for TB. The patient suddenly lost consciousness during his hospital stay. Intracranial hemorrhage was drained and tissue staining revealed heavy loads of tuberculus (TB) bacilli. The patient died two weeks later from septic shock with multi-organ failure.

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