A Case of Mediastinal Tuberculous Abscess and Lymphadenitis after Bone Marrow Transplantation.
- Author:
Chang Wook KIM
1
;
Dong Jun LIM
;
Theresa JANG
;
Tae Seo SOHN
;
Dong Gun LEE
;
Mi Young KIM
;
Jung Hyun CHOI
;
Wan Shik SHIN
;
Chun Choo KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Bone marrow transplantation;
Mycobacterial infection;
Mediastinal abscess;
Post-transplant lymphoproliferative disorders
- MeSH:
Abscess*;
Adult;
Bacteria;
Bone Marrow Transplantation*;
Bone Marrow*;
Drug Therapy;
Female;
Humans;
Korea;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive;
Lymphadenitis*;
Lymphoproliferative Disorders;
Radiotherapy;
Thorax;
Tuberculosis;
Tuberculosis, Lymph Node;
Tuberculosis, Pulmonary
- From:Korean Journal of Infectious Diseases
1999;31(3):247-251
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After bone marrow transplantation (BMT), recipients can be complicated by infectious or non-infectious chest lesions such as mycobacterial infections or post- transplant lymphoproliferative disorders (PTLDs). BMT recipients usually face a lot of risks of mycobacterial infection because they have severely impaired cell- mediated immunity as a result of their underlying disease, chemotherapy, radiotherapy, acute or chronic graft-versus-host diesase (GVHD) and their treatment. We report a case of mediastinal tuberculous abscess and lymphadenitis after BMT, which mimicks PTLDs. 20 months before admission, BMT was performed on a 41 year-old woman who was diagnosed as chronic myelocytic leukemia. She showed acute and chronic GVHD with several infections of bacteria or viruses after BMT. In endemic area of tuberculosis such as Korea, PTLDs should be differentiated from pulmonary tuberculosis and tuberculous lymphadenitis.
