Abstract
Chronic renal failure is a risk factor for tuberculosis. In the past five years we have identified two cases of tuberculosis in our dialysis population. The first patient, showed chronic failure to thrive on hemodialysis. An enlarged cervical lymph node was biopsied and, although no acid fast bacilli (AFB) were seen, a culture grew Mycobacterium tuberculosum (TB). Her chest X-ray did not show evidence of past tuberculosis. The second patient was a long time smoker who presented with an enlarged cervical node, which was biopsied. AFB were not seen on her biopsy, but her culture grew TB. Extrapulmonary TB is common in patients with ESRD, and lymph node involvement is the most common extrapulmonary presentation. Screening with the purified protein derivative (PPD) is not helpful in ESRD patients, since defects in cell mediated immunity are common. A high index of suspicion for TB is warranted in patients with ESRD.
| Original language | English |
|---|---|
| Pages (from-to) | 181-183 |
| Number of pages | 3 |
| Journal | International Urology and Nephrology |
| Volume | 32 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2000 |
Fingerprint
All Science Journal Classification (ASJC) codes
- Nephrology
- Urology
- Geriatrics and Gerontology
Cite this
Extrapulmonary tuberculosis in patients with end stage renal disease : Two case reports and a brief review. / Lund, R. J.; Koch, M. J.; Oldemeyer, J. B.; Meares, A. J.; Dunlay, Robert W.
In: International Urology and Nephrology, Vol. 32, No. 2, 2000, p. 181-183.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Extrapulmonary tuberculosis in patients with end stage renal disease
T2 - Two case reports and a brief review
AU - Lund, R. J.
AU - Koch, M. J.
AU - Oldemeyer, J. B.
AU - Meares, A. J.
AU - Dunlay, Robert W.
PY - 2000
Y1 - 2000
N2 - Chronic renal failure is a risk factor for tuberculosis. In the past five years we have identified two cases of tuberculosis in our dialysis population. The first patient, showed chronic failure to thrive on hemodialysis. An enlarged cervical lymph node was biopsied and, although no acid fast bacilli (AFB) were seen, a culture grew Mycobacterium tuberculosum (TB). Her chest X-ray did not show evidence of past tuberculosis. The second patient was a long time smoker who presented with an enlarged cervical node, which was biopsied. AFB were not seen on her biopsy, but her culture grew TB. Extrapulmonary TB is common in patients with ESRD, and lymph node involvement is the most common extrapulmonary presentation. Screening with the purified protein derivative (PPD) is not helpful in ESRD patients, since defects in cell mediated immunity are common. A high index of suspicion for TB is warranted in patients with ESRD.
AB - Chronic renal failure is a risk factor for tuberculosis. In the past five years we have identified two cases of tuberculosis in our dialysis population. The first patient, showed chronic failure to thrive on hemodialysis. An enlarged cervical lymph node was biopsied and, although no acid fast bacilli (AFB) were seen, a culture grew Mycobacterium tuberculosum (TB). Her chest X-ray did not show evidence of past tuberculosis. The second patient was a long time smoker who presented with an enlarged cervical node, which was biopsied. AFB were not seen on her biopsy, but her culture grew TB. Extrapulmonary TB is common in patients with ESRD, and lymph node involvement is the most common extrapulmonary presentation. Screening with the purified protein derivative (PPD) is not helpful in ESRD patients, since defects in cell mediated immunity are common. A high index of suspicion for TB is warranted in patients with ESRD.
UR - http://www.scopus.com/inward/record.url?scp=0034483885&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034483885&partnerID=8YFLogxK
U2 - 10.1023/A:1007108809773
DO - 10.1023/A:1007108809773
M3 - Article
C2 - 11229630
AN - SCOPUS:0034483885
VL - 32
SP - 181
EP - 183
JO - International Urology and Nephrology
JF - International Urology and Nephrology
SN - 0301-1623
IS - 2
ER -