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[Tuberculosis in patients with chronic renal failure undergoing hemodialysis]
1Department of Nephrology, PUMC Hospital, CAMS, PUMC, Beijing 100730, China. Wenlye@hotmail.com
Objective:
To improve the level of early diagnosis and outcome of tuberculosis (TB) in patients with chronic renal failure on regular hemodialysis (HD).
Methods:
Thirteen cases among 306 patients undergoing HD from January 1995 to May 2000 were identified, and the clinical presentations, diagnostic procedures and management were analyzed.
Results:
The incidence of TB in HD patients was 4.2%. The extrapulmonary TB is common, accounting for 76.9%. The main site of TB was pleural in 4 (30.8%) patients. Most of patients were sensitive to anti-TB agents with the total effective rate of 84.6%.
Conclusions:
The TB should be diagnosed carefully and treated promptly if suspected in patients with CRF during the period of HD.