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Rawla MS et al. – The authors present a case of disseminated Mycobacterium avium–intracellulare in a renal transplant recipient who was negative for human immunodeficiency virus infection. The patient developed renal allograft dysfunction in the setting of disseminated disease and reduced immunosuppression. Transplant biopsy showed acute interstitial nephritis with granulomas and acid–fast bacilli. Acute renal failure resolved completely with further reductions in immunosuppression and anti–mycobacterial therapy.

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