Journals / Göztepe Tıp Dergisi / 2003 / Cilt: 18 - Sayı: 3

Disseminated tuberculosis at chronic renal failure

Kronik böbrek yetersizliğinde dissemine tüberküloz

Pages
189–190
Publication Date
2022-10-17
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We aimed to present this case to underline the complications and mortality of these cases because of the delay of the diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The risk of tuberculosis development has increased 10 times at chronic renal failure (CRF) patients receiving hemodialysis.
📊
Key Findings & Data:In this study, a CRF patient having disseminated tuberculosis with normal initial chest radiography and dying later was presented. 47-year old-female woman patient receiving dialysis for 7 years for CRF has been in the hemodialysis programme initially but because of her shunt's failure peritoneal dialysis programme for the last 2 years. 3 months after the onset of the symptoms, granulomatous myelitis was shown in the bone narrow biopsy, tuberculosis basili was reported to be positive in the sputum and the peritoneal fluid and the chest x-ray revealed miliary findings at the same time.
💡
Conclusion & Impact:We aimed to present this case to underline the complications and mortality of these cases because of the delay of the diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The risk of tuberculosis development has increased 10 times at chronic renal failure (CRF) patients receiving hemodialysis. In these cases, PPD sometimes may be negative due to immun defect. In this study, a CRF patient having disseminated tuberculosis with normal initial chest radiography and dying later was presented. 47-year old-female woman patient receiving dialysis for 7 years for CRF has been in the hemodialysis programme initially but because of her shunt's failure peritoneal dialysis programme for the last 2 years. 3 months after the onset of the symptoms, granulomatous myelitis was shown in the bone narrow biopsy, tuberculosis basili was reported to be positive in the sputum and the peritoneal fluid and the chest x-ray revealed miliary findings at the same time. We aimed to present this case to underline the complications and mortality of these cases because of the delay of the diagnosis.

🔖

Cite This Article

TANRIKULU, A. Ç., DAĞLI, E. C., KIRBAŞ, G., ÖZÇELİK, Y., ŞENYİĞİT, A. (2022). Disseminated tuberculosis at chronic renal failure. Göztepe Tıp Dergisi, Cilt: 18 - Sayı: 3, 189–190. https://ajindex.com/articles/526524

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Murthy BVR, Pereira BJG: A 1990s perspective of hepatitis C, human immunodeficiency virus and tuberculosis infections in dialysis patients. Sem Nephrol 17:346-363, 1997
  2. Centers for Disease Control: Screening for tuberculosis and tuberculosis infection in high-risk populations. MMWR 44(RR-11): 19-34,1995
  3. Woeltje KF, Mathew A, Rothstein M, et al: Tuberculosis infection and energy in hemodialysis patients. Am J Kidney Dis 31:848-852, 1998
  4. Barnes PF, Barrows SA: Tuberculosis in (he 1990s. Ann Intern Med 119:400-410, 1993
  5. Mitwalli A: Tuberculosis in patients on maintenance dialysis. Am J Kidney Dis 18:579-582, 1991
  6. Pellicano R, Palinas F, Leone N, et al: Previous tuberculosis, hepatitis C virus and lichen planus. A repon of 10 cases, a causal or casual link? Panminerva Med 42:77-81,2000
  7. Cengiz K: Increased incidence of tuberculosis in patients undergoing hemodialysis. Nephron 73:421-424, 1996
  8. Dussol B, Jaber K, Berland Y: The difficulty of the diagnosis of tuberculosis in hemodialysis patients. Nephrologie 14:101-104, 1993
  9. Pradhan RP, Katz LA, Nidus BD, et al: Tuberculosis in dialyzed patients. JAMA 229:798-800, 1974
  10. Andrew OT, Schocnfeld PY, Hopewell PC, et al: Tuberculosis in patients with end stage renal disease. Am J Med 68:59-65, 1980
  11. Kwomg JS, Carignan S, Kang E-Y, Miiller NL, FitzGerald JM: Miliary tuberculosis. Diacnostic accuracy of chest radiography. Chest 110:339-342, 1996
  12. Gandolfo E, Bruno G, Vitali E, Ferrero S, Pagano G: Tuberculosis as a cause of fever of unknown origin in the elderly: a case report. Ann Ital Med lnt 17(2):117-20,2002.