Extrapulmonary tuberculosis in ten hemodialysis patients: a single center experience

Abstract

Tuberculosis (TB) infection is increasing all over the world especially among immunocompromised patients including end stage renal disease (ESRD) patients. Symptoms and signs are non-spesific and involvement is generally extra-pulmonary in ESRD patients. We presented ten ESRD patients with TB. Six of our cases presented with TB lymphadenitis, two with Pott’s disease, one with breast TB and one with lung TB and Wegener’s granulomatosis. The diagnosis of TB is based on the finding of an acid fast bacilli-positive smear, positive culture of Mycobacterium tuberculosis, and typical histopathologic findings. Anti-TB therapy with isoniazid, rifampin, pyrazinamide and ethambutol combinations are generally successful. Non- spesific constitutional symptoms and unexplained deterioration of general health in ESRD patients should attract attention of clinicians about TB infections. [Med-Science 2016; 5(4.000): 1016-8]

Keywords

• end stage renal disease
• tuberculosis
• extrapulmonary