关键词: 终末期肾脏病, 结核菌

Abstract: 【Abstract】Objective To investigate the diagnostic criteria of tuberculosis and the suitable period to start treatment in three end stage of renal disease (ESRD) patients complicated with atypical tuberculosis infection. Methods We retrospectively analyzed the clinical manifestations, diagnosis, treatment and prognosis of 3 ESRD cases complicated with tuberculosis and reviewed the related literature. Results One patient died of old age, complications and too late to be diagnosed. One patient improved after ant-tuberculosis therapy with less symptoms and stable disease conditions. One patient was highly suspected to have tuberculosis peritonitis because of no improvement after intraperitoneal antibiotics for 5 days; after removal of peritoneal dialysis tube and change to hemodialysis and administration of anti-tuberculosis therapy for one year, the patient’s disease condition became stable. Conclusion In ESRD patients complicated with tuberculosis, extra- pulmonary tuberculosis is very common with atypical tuberculosis symptoms. ESRD patients suspected with tuberculosis infection may have a trial of anti-tuberculosis treatment as early as possible under the close surveillance of side- effects of the drugs. Misdiagnosis and delayed treatment of tuberculosis would lead to an adverse prognosis.

Key words: End-stage renal disease, ESRD, Tuberculosis