DISSEMINATED TUBERCULOSIS IN A RENAL-TRANSPLANT RECIPIENT PRESENTING AS A NONHEALING SKIN ULCER - A CASE-REPORT

Cutaneous tuberculosis in renal allograft recipients is rare. A 33 yea r old recipient of a second renal allograft developed a painless ulcer on the left foot two months after surgery, followed by the appearance of a cold abscess in the left inguinal region. Smear from the pus asp irated from this abscess revealed acid fast bacilli, and biopsy from t he edge-of the ulcer showed an epitheloid cell granuloma with Langhans type of giant cells. X-ray of the chest revealed miliary mottling in both lung fields. Antitubercular therapy lead to a complete resolution of the tuberculous lesions.