Format

Send to

Choose Destination
Nephron. 1996;73(3):421-4.

Increased incidence of tuberculosis in patients undergoing hemodialysis.

Author information

1
Department of Nephrology, Ondokuz Mayis University School of Medicine, Samsun, Turkey.

Abstract

Tuberculosis was diagnosed in 26 patients (6 females and 20 males) undergoing maintenance hemodialysis, with an incidence of 23.6%. Infection was characterized clinically by a very insidious onset, the main symptoms being anorexia, loss of weight and low-grade fever, a very high sedimentation rate and lymphocytes predominant in the peripheral circulation, pleural and peritoneal fluids. Pulmonary tuberculosis was seen in 18 patients (70%), 10 of whom presented with pleural effusions. There were extrapulmonary presentations in 8 of the 26 patients (30%). Most of the patients developed the disease about 1 year from the start of their dialysis treatment. With early therapy all patients survived their tuberculosis disease and no recurrence was seen in up to 5 years of follow-up. Despite earlier reports of high mortality, we suggest that awareness of the increased incidence of tuberculosis in dialysis patients, together with its unusual presentation and consequent early diagnosis, results in a very good prognosis.

PMID:
8832601
DOI:
10.1159/000189104
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center