TRANSMISSION OF TUBERCULOSIS BY KIDNEY DONATION Vanessa dos Santos Silva , Isis de Figueiredo Alfredo Guimarães, Ana Paula Maia Baptista, Marina Pontello Cristelli, Tainá Veras de Sandes-Freitas, Marcello Franco, Hélio Tedesco-Silva Junior, José Osmar Medina-Pestana Hospital do Rim e Hipertensão-Fundação Oswaldo Ramos Universidade Federal de São Paulo Disciplina de Nefrologia São Paulo Brasil Hospital do Rim e Hipertensão
TRANSMISSION OF TUBERCULOSIS BY KIDNEY DONATION Vanessa dos Santos Silva , Isis de Figueiredo Alfredo Guimarães, Ana Paula Maia Baptista, Marina Pontello Cristelli, Tainá Veras de Sandes-Freitas, Marcello Franco, Hélio Tedesco-Silva Junior, José Osmar Medina-Pestana - PowerPoint PPT Presentation
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TRANSMISSION OF TUBERCULOSIS BY KIDNEY DONATION
Vanessa dos Santos Silva, Isis de Figueiredo Alfredo Guimarães, Ana Paula Maia Baptista, Marina Pontello
Cristelli, Tainá Veras de Sandes-Freitas, Marcello Franco, Hélio Tedesco-Silva Junior, José Osmar Medina-Pestana
Hospital do Rim e Hipertensão-Fundação Oswaldo RamosUniversidade Federal de São Paulo
Disciplina de Nefrologia
São Paulo Brasil
Hospital do Rim e Hipertensão
Introduction
The incidence of tuberculosis among kidney transplant patients is about 0.35 to 15% worldwide and around 1.71% in Brazil.
The risk of TB in renal transplant patients is 20 to 30 times greater than in the general population, the implication being high morbimortality.*
The tuberculosis reactivation after transplantion is the most common presentation among transplant recipients, but transmission through the transplanted allograft has been reported in up to 4% of cases.**
Hospital do Rim e Hipertensão
* . Currie, Andrew C. and cols. Transplantation. 2010 Oct 15;90(7):695-704.** Singh,N. and cols. Clinical Infectious Deseases. 1998 Nov;27(5):1266-77
Report two cases of probable transmission of tuberculosis by kidney transplantation
Hospital do Rim e Hipertensão
Objective
Case Report
Donor:
-17 years,
-Meningococcal meningitis, HIV negative
-Has evolved to brain death after 23 days of hospitalization.
-He had persistent fever despite antibiotic therapy.
-There was no history of illness or contact people with