透析患者の結核症 : 第7報リンパ節結核の易感染性

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Dialysis patients are known to be immunodeficient. To study their susceptibility to lymphnode tuberculosis, an epidemiological study was done.<BR>The subjects consisted of 2, 034 dialysis patients in 1976 and 2, 403 patients in 1977. Among them 12 patients in 1976 and 25 patients in 1977 had tuberculous lesions in lymphnode.<BR>Incidence of lymphnode tuberculosis was 233 per 10, 000 person-years in male and 804per 10, 000 person-years in female dialysis patients, which was 106 times in males and 122 times in females higher than the rate of the age-matched general population. The incidence was 3.5 times higher in female than that in male dialysis patients. Prevalence of the disease was 1.7 times and 2.3 times higher in female than those in male dialysis patients in 1976 and in 1977, respectively. Mean duration time of lymphnode tuberculosis among female dialysis patients was half of that among male dialysis patients. Mortality of lymphnode tuberculosis was 544 times higher in the dialysis patients than that in the general population.<BR>Lymphnode tuberculosis occupied 16% in male and 35% in female of all tuberculosis developed during 1976 among the dialysis patients in contrast to 1.4% in male and 8.2% in female of the general population.<BR>Thus, an extremely high susceptibility to lymphnode tuberculosis in dialysis patients was proved for the first time epidemiologically. Furthermore, the present study demonstrated a remarkably high frequency of lymphnode tuberculosis among all tuberculosis in dialysis patients.
日本結核病学会の論文

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慶応義塾大学医学部附属病院中央透析室

透析患者の結核症 : 第7報リンパ節結核の易感染性

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透析患者の結核症 : 第7報 リンパ節結核の易感染性

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透析患者の結核症 : 第7報リンパ節結核の易感染性