[A case of multiple-drug-resistant pulmonary tuberculosis in a hemodialysis hospital]

A 42-year-old male with chronic renal failure was diagnosed as multiple-drug-resistant pulmonary tuberculosis, 9 months after the onset of hemodialysis. During the period before the diagnosis of tuberculosis, he visited regularly the hemodialysis hospital, accordingly many patients with hemodialysis and the hospital staffs had close and long contact with the patient. Our health center planned and conducted contact examinations among them, with QFT-TB test and chest X-ray. Petients with hemodialysis are regarded as immunocompromised hosts, one of the high risk groups for infections. The result of QFT-TB test of patients were negative, however, we have to cosider the possibility of false-negative. So we followed up by monthly chest X-ray examination all hemodialysis patients for 2 years, and finally, it was found that secondary infection of multiple-drug-resistant tuberculosis among immunocompromised hosts did not occur.