Isolated skin ulcers due to Mycobacterium tuberculosis in a renal allograft recipient

Tuberculosis is a serious opportunistic infection in renal transplant recipients. Post-transplantation tuberculosis most commonly occurs within the first few years of receipt of a renal allograft, but Ram et al. present the case of a 27-year-old male who presented with isolated skin ulcers caused by Mycobacterium tuberculosis 12 years after kidney transplantation. They review the literature on post-transplantation tuberculosis and discuss treatment options.