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Letters to Editor
20 (
4
); 224-224
doi:
10.4103/0971-4065.73436

Tuberculosis in renal transplant recipient

Department of Medicine, Gauhati Medical College and Hospital, Guwahati-32, Assam, India
Department of Nephrology, Gauhati Medical College and Hospital, Guwahati-32, Assam, India

Address for correspondence: Dr. Pranamita Kalita, House no. 31, Japorigog, Guwahati-5, Assam, India. E-mail: prana_hi@yahoo.com

Licence

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications and was migrated to Scientific Scholar after the change of Publisher.

Sir,

We read with interest the article on the allograft and prostatic involvement in a renal transplant recipient with disseminated tuberculosis by Sreejith et al.[1] We have also encountered a few patients of renal transplant with tuberculosis. However, we have a few queries.

  • Is culture and sensitivity necessary to all patients with tuberculosis? It has been found that primary drug resistance is increasingly being reported in the general population.[2]

  • What is the ideal duration of treatment for such patients? The regimens used in different centers vary in dose and duration. These regimens are not validated and are based on individual preferences and responses.[2]

  • Will transrectal ultrasonography (TRUS) guided aspiration of prostatic abscess be an ideal treatment in a situation like this? TRUS guided aspiration of prostatic abscess is a safe and effective method.[3] It has proven its efficacy even in tubercular prostatic abscess.[4]

References

  1. , , , , , , . Allograft and prostatic involvement in a renal transplant recipient with disseminated tuberculosis. Indian J Nephrol. 2010;20:40-2.
    [Google Scholar]
  2. , , , , . Tuberculosis in renal transplant recipients. Indian J Urol. 2008;24:396-400.
    [Google Scholar]
  3. , , , , . The value of transrectal ultrasound guided needle aspiration in treatment of prostatic abscess. Eur J Radiol. 2004;52:94-8.
    [Google Scholar]
  4. , , , , , , , . EUS-guided drainage of an isolated primary tubercular prostatic abscess. Gastrointest Endosc. 2010;71:425-8.
    [Google Scholar]

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