J Korean Radiol Soc.  2001 Mar;44(3):345-350. 10.3348/jkrs.2001.44.3.345.

Tuberculosis in Patients with End-Stage Renal Disease

• Kim HC
• Goo JM
• Chung MJ
• Moon MH
• Koh YH
• Im JG

• KMID: 2200429
• DOI: http://doi.org/10.3348/jkrs.2001.44.3.345

Abstract

PURPOSE: The purpose of our study was to describe the clinical and radiological mani-festations of tuberculosis in patients with end-stage renal disease.
MATERIALS AND METHODS
The medical records, chest radiographs, and CT scans of 42 patients with tuberculosis among 871 consecutive patients with end-stage renal disease were reviewed. Patterns of initial chest radiographs were categorized as primary, postprimary, miliary, or atypical, according to the predominant radiologic findings.
RESULTS
Chest radiographs and CT scans revealed pulmonary tuberculosis in 28 patients and extrapulmonary tuberculosis in 15. The pattern of chest radiographs indicative of pulmonary tuberculosis was primary in 12 cases, postprimary in 11, miliary in one, demonstrated atypical infiltrates in three, and was normal in one. Tuberculosis involved the extrathoracic lymph nodes in six cases, the peritoneum in four, the spine in three, and the bone marrow in two. The primary pattern, seen in 12 patients, manifested as pleural effusion or segmental consolidation, and in ten of the twelve the former was dominant.
CONCLUSION
The radiological pattern of pulmonary tuberculosis in end-stage renal disease is often primary, and extrapulmonary involvement is frequent.

Keyword

Tuberculosis; Kidney, failure; Radiograph; Computed Tomography (CT)

MeSH Terms

Bone Marrow
Humans
Kidney Failure, Chronic*
Lymph Nodes
Medical Records
Peritoneum
Pleural Effusion
Radiography, Thoracic
Spine
Tomography, X-Ray Computed
Tuberculosis*
Tuberculosis, Pulmonary