Uncommon presentation of tuberculosis in a renal allograft recipient

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Tuberculosis (TB), especially in developing countries like India, is a common infective complication after renal transplant with occurrence common in first 2 years. However, sternal TB is rare. We describe a 55-year-old female patient who after 5 years of live donor renal transplant with stable immunosuppression and graft function presented with a chest swelling and a destructive bony lytic lesion diagnosed as sternal TB with radiological and microbiological investigations. She was successfully treated with antitubercular therapy to which she spontaneously responded. This case, to the best of our knowledge, is the first reported case of sternal TB in a renal allograft recipient to be successfully managed with antitubercular therapy.