关键词: 肾移植术后, 鸟胞内分支杆菌复合体, 诊断, 治疗

Abstract:

A 45yearold male kidney transplant recipient who kept a longterm immunosuppressive agents consisted of prednisone, cyclosporine, azathioprine and tripterygium wilfordii. He had a posttransplantation infection experience: adequately treated cryptococcus neoformans infection involved lung and central nervous system with the agents of fluconazole and sporanox. After cryptococcus neoformans infection cured, his immunosuppressive regimen changed into the combination of prednisone, mycophenolate mofetil and tacrolimus. Four months lately, he was suffered with recurrent fever which mainly occurred at night and persistent diarrhea. Acid fast bacilli were found several times in his sputum and midstream urine specimen. PETCT showed a lot of lymphonodus  with high metabolic rate. The celiac lymph node histological examination showed highly considered mycobacterium aviumintracellulare complex pseudotumor. The final diagnosis is mycobacterium aviumintracellulare complex disseminated infection.

Key words: post-renal transplantation, mycobacterium avium-intracellulare complex, diagnosis, treatment