Tuberculous Spondylitis in a Hemodialysis Patient / 대한신장학회잡지
Korean Journal of Nephrology
; : 1075-1079, 2001.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-145646
Biblioteca responsável:
WPRO
ABSTRACT
Patients undergoing maintenance dialysis show an increased susceptibility to tuberculosis because host immunity is decreased secondary to malnutrition, impaired cellular immunity, acidosis and etc. Extrapulmonary tuberculosis is more prevalent in patients with end stage renal disease than in normal subjects. Among the extrapulmonary tuberculosis in patients receiving hemodialysis, the diagnosis of tuberculous spondylitis is difficult because the symptoms are non specific and attributable to uremia, and the appearance of plain radiographs is often normal during the early phase of the disease. We experienced a case of tuberculous spondylitis in a hemodialysis patient. A 55 years old female admitted with fever, weight loss and back pain. Conventional radiograph of T-spine showed no definite abnormal finding. However, chest CT revealed heterogeneously enhancing soft tissue around the T8 vertebral body and T-spine MRI showed compatible finding to tuberculous spondylitis. She received radical excision of involved vertebra and confirmed tuberculous spondylitis with histologic finding from a surgical specimen. Following the administration of anti-tuberculosis medication(isoniazid, rifampin, pyraziamide, ethambutol) and radical excision, patient's symptom and sign were improved. The patient is maintaining dialysis with anti-tuberculosis medication for 5 months.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
Doenças Negligenciadas
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Tuberculose
/
Tuberculose
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Doença Renal Crônica
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Doenças do Sistema Endócrino
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Desnutrição e Deficiências Nutricionais
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Doenças Musculoesqueléticas e Reumáticas
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Rifampina
/
Coluna Vertebral
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Espondilite
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Acidose
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Tuberculose
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Uremia
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Imageamento por Ressonância Magnética
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Redução de Peso
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Tomografia Computadorizada por Raios X
/
Diálise Renal
Tipo de estudo:
Estudo diagnóstico
Aspecto:
Determinantes sociais da saúde
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Ano de publicação:
2001
Tipo de documento:
Artigo