Туберкулез и болезни лёгких (Nov 2017)
DIAGNOSTICS AND TREATMENT OF RESPIRATORY TUBERCULOSIS IN THE PATIENT AFTER KIDNEY TRANSPORTATION
Abstract
Tuberculosis incidence among those, expecting kidney transplantation or after kidney transplantation is 10 times higher than the one in the general population, which is related to the development of drug-induced immune deficiency. So far there is no universal approach to treatment of such patients since numerous factors are to be taken into account: drug resistance of mycobacteria, the interaction of anti-tuberculosis drugs and immunosuppressive agents, development of adverse reactions and toxic effect on the kidney. The article presents a clinical case of diagnostics and successful treatment of pulmonary tuberculosis, tuberculosis of chest lymph nodes and bronchi in the patient with chronic renal failure in the terminal stage after the kidney transportation.
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