Simeonov P, Todorov K, Patev E, Kiriakov Z
Vutr Boles. 1979;18(4):69-74.
Four cases with tuberculosis, not differentiated clinically and one case with ordinary septic process, falsly diagnosed as tuberculosis are described in patients treated with long-term hemodialysis. The errors admitted are analyzed, the significance of the atypical tuberculosis forms being stressed upon, especially miliary tuberculosis, pulmonary uremic edema, resembling disseminated pulmonary tuberculosis as well as of reduced activity in searching and diagnosis of tuberculosis. A plan and indications for the treatment of those infections in patients with kidney diseases are presented, treated with long-term hemodialysis.
本文描述了在长期血液透析患者中出现的4例临床未鉴别出的结核病病例以及1例被误诊为结核病的普通脓毒症病例。分析了所承认的诊断错误,强调了非典型结核形式的重要性,尤其是粟粒性结核、类似播散性肺结核的肺尿毒症性水肿,以及在结核病检查和诊断中活性降低的情况。本文还提出了长期血液透析肾病患者这些感染的治疗方案和指征。