Gusmão L, Galvão J, Alfarroba E
Unidade de Nefrologia e Hemodiálise, Hospital Militar Principal, Lisboa.
Acta Med Port. 1998 Dec;11(12):1107-11.
There has been a recrudescence of tuberculosis, an ancient disease with recent control by public hygiene and drug therapy. Factors leading to the increased incidence of tuberculosis include the high incidence of tuberculosis among the AIDS population, and the emergence of drug-resistant strains of tuberculosis. In renal failure patients, there is impairment of several aspects of lymphocyte and granulocyte function. The incidence of tuberculosis has been estimated to be as much as 10-fold higher among renal failure patients than among the general population. The authors review the history of tuberculosis, the most significant clinical and pathological aspects, and practical diagnosis and treatment in renal tuberculosis and in renal failure.
结核病出现了复发情况,这是一种古老的疾病,近期通过公共卫生措施和药物治疗得到了控制。导致结核病发病率上升的因素包括艾滋病患者中结核病的高发病率,以及耐药结核菌株的出现。在肾衰竭患者中,淋巴细胞和粒细胞功能的多个方面存在损害。据估计,肾衰竭患者中结核病的发病率比普通人群高多达10倍。作者回顾了结核病的历史、最重要的临床和病理方面,以及肾结核和肾衰竭的实际诊断与治疗。