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The diagnosis of tuberculosis in dialysis patients
Joint Authors
Jabali, Halah
Rais, Lamya
Zuaghi, Muhammad Karim
Barrah, Sana
Khidr, Raniya
Khouja, Nihal
Mahiri, Salma Nadiyah
Beji, Majid
Abd al-Malik, Rim
Tiouiri, Hanini
Smaoui, Wided
Bin Fatimah, Layla
Beji, Sumayyah
Bin Hamidah, Fathi
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 28, Issue 6 (31 Dec. 2017), pp.1362-1368, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2017-12-31
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Topics
Abstract EN
The incidence of tuberculosis (TB) is high in patients undergoing chronic dialysis than it is in the general population.
The diagnosis of TB is often difficult and extrapulmonary involvement is predominant.
This study investigates the spectrum of clinical presentations and outcome in dialysis patients during a nine-year period.
TB was diagnosed in 41 patients.
Anti-TB drugs, adverse effects of therapy, and outcome were noted.
Thirty-eight patients (92.6%) were on hemodialysis and three were on peritoneal dialysis (7.3%).
The mean age at diagnosis was 50.8 years and the male/female ratio was 1.16.
Four patients had a history of pulmonary TB.
Extrapulmonary involvement was observed in 32 (78 %) patients.
The bacteriological confirmation was made in 41.46% and histological confirmation was made in 26.83%, and in the rest, the diagnosis was retained on the criterion presumption.
Nineteen patients (46.34%) developed adverse effects of antitubercular drugs.
Eight patients (19.51%) died during the study from TB or adverse effects of treatment.
Low urea reduction ratio and female sex were associated with poor prognosis in our study.
The clinical manifestations of TB in patients on dialysis are quite nonspecific, making timely diagnosis difficult, and delaying the initiation of curative treatment, which is a major determinant of the outcome
American Psychological Association (APA)
Jabali, Halah& Barrah, Sana& Rais, Lamya& Khidr, Raniya& Khouja, Nihal& Mahiri, Salma Nadiyah…[et al.]. 2017. The diagnosis of tuberculosis in dialysis patients. Saudi Journal of Kidney Diseases and Transplantation،Vol. 28, no. 6, pp.1362-1368.
https://search.emarefa.net/detail/BIM-785660
Modern Language Association (MLA)
Jabali, Halah…[et al.]. The diagnosis of tuberculosis in dialysis patients. Saudi Journal of Kidney Diseases and Transplantation Vol. 28, no. 6 (Nov. / Dec. 2017), pp.1362-1368.
https://search.emarefa.net/detail/BIM-785660
American Medical Association (AMA)
Jabali, Halah& Barrah, Sana& Rais, Lamya& Khidr, Raniya& Khouja, Nihal& Mahiri, Salma Nadiyah…[et al.]. The diagnosis of tuberculosis in dialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2017. Vol. 28, no. 6, pp.1362-1368.
https://search.emarefa.net/detail/BIM-785660
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1367-1368
Record ID
BIM-785660