透析患者の結核症 : 第9報骨・関節結核

概要

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Patients undergoing maintenance hemodialysis show impaired immunity. In order to clarify the characteristics of bone and joint tuberculosis in dialysis patients, an epidemiological study was made. Study subjects were 7, 274 dialysis patients including 150 cases complicated with tuberculosis treated in 161 institutions, and among them 4 males and 4 females had bone and joint tuberculosis. They were aged between 21 and 53, and the majority were in the age groups 40s and 50s. Two males and two females died from tuberculosis. Incidence of bone and joint tuberculosis was 76 case/105 persons·Eyear in males and 140 in females. The mortality rate was 38 case/105 persons·Eyear in males and 70 in females. The fatality rate was 50% both in males and in females. Incidence of tuberculosis localised solely in bone and joint was 12 case/105 persons·Eyear in dialysis patients, which was 5 times higher than that of the age and sex matched general population. Bone and joint tuberculosis occupied 4.8% in males and 7.5% in females of all tuberculosis among dialysis patients. Deaths from bone and joint tuberculosis occupied 13% in males and 20% in females of all deaths from tuberculosis in dialysis patients.
日本結核病学会の論文