Extrapulmonary tuberculosis in patients with end stage renal disease: Two case reports and a brief review

R. J. Lund, M. J. Koch, J. B. Oldemeyer, A. J. Meares, Robert W. Dunlay

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 languageEnglish
Pages (from-to)181-183
Number of pages3
JournalInternational Urology and Nephrology
Volume32
Issue number2
DOIs
StatePublished - 2000

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Chronic Kidney Failure
Tuberculosis
Bacillus
Lymph Nodes
Failure to Thrive
Acids
Mycobacterium
Cellular Immunity
Renal Dialysis
Dialysis
Thorax
X-Rays
Biopsy
Population
Proteins

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 journalArticle

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