透析患者における結核症の臨床的検討

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This paper presents clinical features of ten tuberculous patients out of five hundred and twelve chronic renal failure patients on hemodialysis. The incidence was 2.0%. The average age at onset was fifty one years old, and males were predominant. The affected organs were pleura, lung and cervical lymphnodes, with a ratio of the former two to the latter two to one, and one case of miliary tuberculosis.<BR>All had pyrexia and positive C reactive protein test and most cases presented leukocytosis with shift to left, relative lymphocytopenia and accelerated erythrocyte sedimentation rate, which suggested acute bacterial infections. Tuberculin skin test was positive in 7 out of 8 tested cases. Chest X-ray findings were small exudative parenchymal lesion and/or pleural effusion. Tuberculosis developed within five months after initiating hemodialysis in ninety percent of the cases. All patients responded well to antituberculous chemotherapy using isoniazid, rifampicin and ethambutol, and the outcome was favorable among them.
一般社団法人日本結核病学会の論文