Document Detail

Tuberculous peritonitis.
MedLine Citation:
PMID:  19270209     Owner:  NLM     Status:  MEDLINE    
Compared with the general population, dialysis patients are at higher risk of acquiring mycobacterial infections. The aim of the present article is to review case reports and studies published since the report by Talwani and Horvath (2000) and to discuss the main problems that arise in daily practice. After a comprehensive review of the literature, cumulative data about peritoneal dialysis and peritoneal tuberculosis from reports of 98 patients in 21 papers were analyzed. The clinical and laboratory findings of peritoneal tuberculosis are nonspecific. Diagnosis requires a high index of suspicion. The most difficult cases present as culture-negative peritonitis or culture-positive peritonitis resistant to appropriate antibiotics without any additional clues of tuberculosis. The sensitivity of smears and cultures can be enhanced by centrifuging a 50 - 150 mL dialysate sample.
Tekin Akpolat
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  29 Suppl 2     ISSN:  0896-8608     ISO Abbreviation:  Perit Dial Int     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-03-09     Completed Date:  2009-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  S166-9     Citation Subset:  IM    
Ondokuz Mayis University, School of Medicine, Department of Nephrology, Samsun, Turkey.
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MeSH Terms
Antitubercular Agents / therapeutic use*
Catheters, Indwelling / adverse effects*,  microbiology
Device Removal / methods*
Kidney Failure, Chronic / therapy*
Mycobacterium tuberculosis / isolation & purification*
Peritoneal Dialysis / adverse effects*,  instrumentation
Peritonitis, Tuberculous / epidemiology,  etiology*,  therapy
Risk Factors
World Health
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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