caa a22 4500 475773942 CHVBK 20180406123625.0 cr unu---uuuuu 170329e20000601xx s 000 0 eng 10.1023/A:1007108809773 doi (NATIONALLICENCE)springer-10.1023/A:1007108809773 Extrapulmonary tuberculosis in patients with end stage renal disease [Elektronische Daten] [Richard Lund, Matt Koch, J. Oldemeyer, A.J. Meares, Robert Dunlay] Chronic renal failure is a risk factor fortuberculosis. In the past five years we have identifiedtwo cases of tuberculosis in our dialysis population.The first patient, showed chronic failure to thrive onhemodialysis. An enlarged cervical lymph node wasbiopsied and, although no acid fast bacilli (AFB) wereseen, a culture grew Mycobacterium tuberculosum (TB). Her chest X-ray did not show evidence of pasttuberculosis. The second patient was a long timesmoker who presented with an enlarged cervical node,which was biopsied. AFB were not seen on her biopsy,but her culture grew TB. Extrapulmonary TB is commonin patients with ESRD, and lymph node involvement isthe most common extrapulmonary presentation. Screening with the purified protein derivative (PPD)is not helpful in ESRD patients, since defects in cellmediated immunity are common. A high index ofsuspicion for TB is warranted in patients with ESRD. Kluwer Academic Publishers, 2000 Chronic renal failure nationallicence Dialysis nationallicence Extrapulmonary tuberculosis nationallicence Lund Richard Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut Koch Matt Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut Oldemeyer J. Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut Meares A.J. Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut Dunlay Robert Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut International Urology and Nephrology Kluwer Academic Publishers 32/2(2000-06-01), 181-183 0301-1623 32:2<181 2000 32 11255 https://doi.org/10.1023/A:1007108809773 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1007108809773 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lund Richard Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut NATIONALLICENCE 700 1- Koch Matt Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut NATIONALLICENCE 700 1- Oldemeyer J. Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut NATIONALLICENCE 700 1- Meares A.J. Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut NATIONALLICENCE 700 1- Dunlay Robert Departments of Internal Medicine and Pharmacology, Creighton University, Omaha, Nebraska, USA aut NATIONALLICENCE 773 0- International Urology and Nephrology Kluwer Academic Publishers 32/2(2000-06-01), 181-183 0301-1623 32:2<181 2000 32 11255 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer