臨牀透析 Vol.25 No.1(1-3)


特集名 どうコントロールするか透析患者の感染症
題名 病因微生物 : 感染症の動向 (3) 結核症
発刊年月 2009年 01月
著者 坂口 美佳 近畿大学医学部堺病院腎臓内科
著者 長谷川 廣文 近畿大学医学部堺病院腎臓内科
【 要旨 】 透析患者の結核症は頻度が一般人口よりも高く,また肺外結核など非典型的な病像を示し,診断に難渋することも少なくない.近年,施行可能となった補助検査なども活用して,できるだけ早期に診断し,それぞれの病状に応じた適切な対応が望まれる.また,菌の耐性化を防ぐためにも多剤併用による十分な治療を行うことが重要である.
Theme Controlling Infections in Dialysis Patients
Title Tuberculosis in dialysis patients
Author Mika Sakaguchi Department of Medicine, Division of Nephrology and Dialysis of Sakai Hospital, Kinki University School of Medicine
Author Hirofuimi Hasegawa Department of Medicine, Division of Nephrology and Dialysis of Sakai Hospital, Kinki University School of Medicine
[ Summary ] Tuberculosis is more common in dialysis patients than in the general population. These patients often exhibit atypical features such as extrapulmonary lesions. Therefore, it is sometimes difficult to diagnose tuberculosis in dialysis patients. It is very important to be diagnosed. Several procedures, including new laboratory methods maybe employed. The most appropriate treatment must be employed to avoid drug resistance. If tuberculosis is diagnosed or even suspected, appropriate measures must be taken to avoid massive outbreaks in our institutions.
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