A case report on tuberculosis with remittent fever after tonsillectomy in a patient under CAPD.

Bibliographic Information

Other Title
  • へん桃摘出後弛張熱が持続し結核症が疑われた腹膜透析の1例

Abstract

This report perta6ins to a case of chronic renal failure with remittent fever after tonsillectomy. The patient was 45-year-old female who had been undergoing continuous ambulatory peritoneal dialysis (CAPD) for five years. She was admitted to our hospital after being diagnosed as having pyrexia with tonsilitis. A tonsillectomy was performed.<BR>Although several symptoms and signs, such as fever, positive CRP and accelerated ESR, improved transiently by the seventh postoperative day, remittent fever and cervical lymph node swelling suddenly recurred after the eigth postoperative day. In spite of the antibiotic therapy, the fever continued for two weeks thereafter.<BR>A culture to check for acid-fast bacilli was negative, but on epithelioid cell granuloma with a small central abscess was found in the biopsy specimen of the lymph node. INH was prescribed to her. After three days of INH administration, the patient became afebrile. Patients with long-term dialysis are known to be very susceptible to tuberculous diseases. However, to date, there has been no report of tuberculosis being accompanied by a fever after a tonsillectomy. As it might be difficult to make a tubercular diagnosis on such a febrile patient, early antituberculous chemotherapy is recommended for patients with antibiotic-refractory fever.

Journal

Details 詳細情報について

  • CRID
    1390001205000514560
  • NII Article ID
    130001411106
  • DOI
    10.11400/kekkaku1923.66.839
  • ISSN
    18842410
    00229776
  • PubMed
    1784101
  • Text Lang
    ja
  • Data Source
    • JaLC
    • PubMed
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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