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Renaissance of tuberculosis in the 1990s: lessons for the nephrologist
1Toronto Western Hospital, Ontario, Canada.
Abstract
Objective:
To call attention to the worldwide increase in tuberculosis and to review the disease in peritoneal dialysis patients.
Data Sources:
Recent epidemiological publications.
Data Extraction:
Epidemiological data summarized in tables and diagnostic and therapeutic recommendations reviewed.
Conclusions:
Tuberculosis is on the rise worldwide. Multiple drug-resistant strains are emerging, causing therapeutic problems. The role of atypical mycobacterial infections in continuous ambulatory peritoneal dialysis (CAPD) is reviewed. Early diagnosis of cases and thorough chemotherapy are advocated.