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Pulmonary Tuberculosis After Lung Transplantation

Larry L. Schulman; Brian Scully; Carlton C. McGregor; John H. M. Austin
Author and Funding Information

Affiliations: From the Department of Medicine, College of Physicians & Surgeons of Columbia University, New York,  From the Department of Radiology, College of Physicians & Surgeons of Columbia University, New York

Affiliations: From the Department of Medicine, College of Physicians & Surgeons of Columbia University, New York,  From the Department of Radiology, College of Physicians & Surgeons of Columbia University, New York


1997 by the American College of Chest Physicians


Chest. 1997;111(5):1459-1462. doi:10.1378/chest.111.5.1459
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Abstract

During a 5-year study period, we diagnosed pulmonary tuberculosis in two (2%) of 94 lung and heart-lung transplant recipients. Each infection occurred 3 months after bilateral lung transplantation in the presence of evidence implicating donor-to-recipient transmission of the pathogen. The radiographic patterns of pulmonary tuberculosis were subtle: narrowing of the middle lobe bronchus of the right lung caused by an endobronchial granulomatous mass (n=l) and a focal cluster of small nodules in the upper lobe of the left lung and small bilateral pleural effusions (n=l). Each patient achieved complete clinical and radiographic response after antituberculous therapy. We conclude that Mycobacterium tuberculosis may be transmitted directly by a donor lung and may involve bronchial mucosa, pulmonary parenchyma, and pleura.


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