What is this neck mass? A 47-yo India-born male with chronic hep C, hepatocellular carcinoma, on tacrolimus and steroids s/p liver transplant, presents with fever, left lower lobe consolidation, pleural effusion. Ten days later, a submandibular mass developed.
Hepatocellular carcinoma
Mycobacterium tuberculosis
Kaposi sarcoma
Non-Hodgkin lymphoma
Posttransplant lymphoproliferation
You are correct. Liver biopsies show granulomata. A neck mass fine-needle aspirate showed acid-fast bacilli. Reactivated TB is the commonest cause of clinical TB after solid organ transplantation.