TUBERCULOUS OSTEOMYELITIS - AN UNUSUAL CASE OF TUBERCULOUS INFECTION IN A CHILD UNDERGOING CONTINUOUS AMBULATORY PERITONEAL-DIALYSIS

被引：3

作者：

YALCINKAYA, F ^{[1
]}

TUMER, N ^{[1
]}

AKAR, N ^{[1
]}

EKIM, M ^{[1
]}

BILDIRICI, Y ^{[1
]}

机构：

[1] ANKARA UNIV,FAC MED,DEPT PAEDIAT NEPHROL,ANKARA,TURKEY

来源：

PEDIATRIC NEPHROLOGY | 1995年 / 9卷 / 04期

关键词：

TUBERCULOUS OSTEOMYELITIS; CONTINUOUS AMBULATORY PERITONEAL DIALYSIS; POLYMERASE CHAIN REACTION;

D O I：

10.1007/BF00866737

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

A 10-year-old boy on continuous ambulatory peritoneal dialysis had low-grade fever, pain and tenderness of the right shoulder; he had no history of infection or exposure to tuberculosis. The underlying granulomatous infection was diagnosed by histological examination of bone and the polymerase chain reaction with primer sequences specific for Mycobacterium tuberculosis. Special stains and cultures were negative. The initiation of anti-tuberculous therapy was followed by a sharp improvement in the fever, malaise and shoulder pain within several weeks. Extrapulmonary tuberculosis is common in patients with chronic renal failure on dialysis and the diagnosis is difficult, The clinician must recognise the high and early mortality rate in order to initiate an aggressive diagnostic approach and early therapy.

引用

页码：485 / 486

页数：2

共 12 条

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