Disseminated Tuberculosis with Cholecystitis in a Patient after Cord Blood Transplantation

  • Konuma Takaaki
    Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Japan
  • Isobe Masamichi
    Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Japan
  • Adachi Eisuke
    Department of Infectious Diseases and Applied Immunology, The Institute of Medical Science, The University of Tokyo, Japan
  • Kato Seiko
    Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Japan
  • Takahashi Satoshi
    Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Japan
  • Yotsuyanagi Hiroshi
    Department of Infectious Diseases and Applied Immunology, The Institute of Medical Science, The University of Tokyo, Japan
  • Tojo Arinobu
    Department of Hematology/Oncology, The Institute of Medical Science, The University of Tokyo, Japan

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Abstract

<p>The incidence of an active tuberculosis infection after allogeneic hematopoietic cell transplantation is high. We herein report the case of a patient with acute myeloid leukemia after cord blood transplantation (CBT). On day 36 after CBT, the patient developed fever, and a computed tomography scan on day 36 showed mild thickening of the wall of the gallbladder. Subsequently, a sputum specimen and a blood culture returned positive for the growth of Mycobacterium tuberculosis. After 2 months of administering combination therapy, both the symptoms and gallbladder findings improved. We therefore describe a case of disseminated tuberculosis with the gallbladder mimicking acute cholecystitis in a CBT recipient. </p>

Journal

  • Internal Medicine

    Internal Medicine 59 (21), 2769-2771, 2020-11-01

    The Japanese Society of Internal Medicine

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