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Tuberculosis in children undergoing continuous ambulatory peritoneal dialysis
M Ekim1, N Tümer, S Bakkaloğlu
1Department of Pediatric Nephrology, Ankara University Faculty of Medicine, Ankara, Turkey.
Pediatric Nephrology (Berlin, Germany)
|August 25, 1999
Summary
Tuberculosis (TB) reactivation is a risk for children on continuous ambulatory peritoneal dialysis (CAPD). Early TB investigation is crucial for pediatric CAPD patients, especially in high-prevalence areas.
Area of Science:
- Nephrology
- Infectious Diseases
- Pediatrics
Background:
- Global increase in tuberculosis (TB) incidence.
- Chronic renal failure impairs cellular immunity, increasing TB reactivation risk.
- Continuous ambulatory peritoneal dialysis (CAPD) is a treatment for pediatric chronic renal failure.
Observation:
- Seventy pediatric patients underwent CAPD between 1989-1997.
- Four patients (5.7%) developed TB during CAPD treatment.
- TB presentations included pulmonary TB and extrapulmonary TB osteomyelitis.
Findings:
- All TB patients received antituberculous drug therapy.
- Two patients with pulmonary TB were cured.
- Two patients showed symptom improvement but died due to unknown causes.
Implications:
- Children on CAPD require vigilant TB screening, particularly those with unexplained cough or fever.
- High TB prevalence areas necessitate proactive investigation in pediatric CAPD populations.
- Understanding TB risks in immunocompromised pediatric patients is critical for effective management.