Fongoro S, Diallo D, Toloba Y, Diallo S, Maïga H, Arama C
Service de Nephrologie, CHU du Point G, Bamako, Mali.
Mali Med. 2011;26(2):27-30.
To determine the frequency and the diagnostic difficulties of tuberculosis of haemodialysis patients.
The study was about a retrospective analyse of patients haemodialysis records treated for tuberculosis within January 2003 to April 2006. The tuberculosis check-up contained a questioning, a meticulous clinic examination, thorax radiography, a tuberculosis intra dermoreaction (IDR) and the search of Koch Bacillus (BK) in biological liquids.
Tuberculosis was identified to 15.52% of haemodialysis patients (10/95). The average age of our patients was from 44.3 years, with a ratio sex of 2.5 in favour of men. Tuberculosis infection happened on average 27.4 months after the beginning of the haemodialysis. We found out 50% of extra pulmonary tuberculosis (three peritoneales and two pleurales); and 50% of pulmonary tuberculosis. The IDR was positive in two cases (2/6). The search of BK didn't succeed. We reported three deaths.
The effect of tuberculosis to chronic haemodialysis patients is very high. The diagnostic is sometimes difficult and is based only on specific therapeutic test.
确定血液透析患者结核病的发病率及诊断难点。
本研究是对2003年1月至2006年4月期间接受结核病治疗的血液透析患者记录进行的回顾性分析。结核病检查包括问诊、细致的临床检查、胸部X光检查、结核菌素皮内试验（IDR）以及在生物液体中查找结核杆菌（BK）。
在血液透析患者中，结核病的确诊率为15.52%（10/95）。我们的患者平均年龄为44.3岁，男女比例为2.5，男性居多。结核病感染平均发生在血液透析开始后的27.4个月。我们发现50%为肺外结核（3例腹膜结核和2例胸膜结核）；50%为肺结核。IDR试验在2例（2/6）中呈阳性。查找BK未成功。我们报告了3例死亡病例。
结核病对慢性血液透析患者的影响非常大。诊断有时很困难，且仅基于特定的治疗试验。
