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Tuberculosis in patients undergoing maintenance dialysis.
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- HARADA Takashi
- 長崎大学医学部第2内科
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- TANAKA Tamio
- 長崎大学医学部第2内科
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- MATSUO Shinichiro
- 長崎大学医学部第2内科
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- OZONO Hiroyuki
- 長崎大学医学部第2内科
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- TOMONAGA Akimitsu
- 長崎大学医学部第2内科
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- HARA Kohei
- 長崎大学医学部第2内科
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- KUSABA Yasuyuki
- 泌尿器科
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- SHINDO Kazuhiko
- 泌尿器科
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- SAITO Yasushi
- 泌尿器科
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- MURAYA Yoshiaki
- 長崎市立成人病センター
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- URA Shigeo
- 長崎市立成人病センター
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- KAWATOMI Masahiro
- 長崎市立成人病センター
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- 堤 恒雄
- 長崎市立成人病センター
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- SUENAGA Masahiro
- 佐世保市立総合病院
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- YOKOYAMA Kazuaki
- 佐世保市立総合病院
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- ISHIZAKI Takeshi
- 佐世保市立総合病院
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- HIROSE Ken
- 桜町クリニック
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- MATSUKUMA Genichiro
- 桜町クリニック
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- FUNAKOSHI Hirokazu
- 桜町クリニック
Bibliographic Information
- Other Title
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- 透析患者に発生した結核症
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Description
Thirty four patients with tuberculosis were identified over a 17 year period in a group of 643 patients undergoing peritoneal and hemodialysis. The incidence of tuberculosis was more frequent in the early stages of dialysis. Sixteen patients were diagnosed definitely as having lymphogenic tuberculosis (6), miliary tuberculosis (5), pulmonary tuberculosis (1), tuberculous pleurisy (1), tuberculous peritonitis (1) and tuberculous arthritis (1), and the other 18 patients, 14 having fever of unknown origin and 4 pleurisy, were diagnosed ther apoiticaly as having tuberculosis. The diagnosis of tuberculosis in dialysis patients was difficult because the symptoms were nonspecific, there were more frequent extrapulmonary involvements and tubercle bacilli were rarely isolated from dialysis patients. We inves tigated cell mediated immunity in dialysis patients. The data indicated that dialysis patients have lymphopenia, decreased reaction of PPD, alteration of T cell subset and decreased T cell activity. The experience suggests that patients on dialysis have decreased immunologic host defence and have a greater chance of contracting tuberculosis infection.
Journal
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- Kekkaku(Tuberculosis)
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Kekkaku(Tuberculosis) 60 (2), 53-58, 1985
THE JAPANESE SOCIETY FOR TB AND NTM