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أعرض في EDS

Tuberculous peritonitis in patients on peritoneal dialysis: a 35-year experience from a large medical center in Northern Taiwan

التفاصيل البيبلوغرافية
العنوان: Tuberculous peritonitis in patients on peritoneal dialysis: a 35-year experience from a large medical center in Northern Taiwan
المؤلفون: Tzu-Yi Yang, Ya-Chung Tian, Tzung-Hai Yen, Ming-Yang Chang, Chan-Yu Lin, Shou-Hsuan Liu
المصدر: Renal Failure, Vol 45, Iss 1 (2023)
بيانات النشر: Taylor & Francis Group, 2023.
سنة النشر: 2023
المجموعة: LCC:Diseases of the genitourinary system. Urology
مصطلحات موضوعية: Peritoneal dialysis, tuberculous peritonitis, mortality, catheter removal, Diseases of the genitourinary system. Urology, RC870-923
الوصف: AbstractIntroduction Tuberculous peritonitis (TBP) is a rare but fatal complication in patients on peritoneal dialysis (PD). In this study, we aimed to determine the demographic features, clinical features, laboratory parameters, and clinical outcomes of PD patients with TBP and to clarify possible risk factors for mortality.Materials and methods We retrospectively reviewed 2084 PD patients from January 1985 to December 2019. The diagnosis of TBP was established by positive peritoneal fluid culture for Mycobacterium tuberculosis.Results 18 patients were diagnosed with TBP. The incidence was 2.029 episodes per 1000 patient-years. The most common symptom was fever (94.4%), followed by cloudy effluent (83.3%) and abdominal pain (83.3%). The average peritoneal dialysis effluent (PDE) white blood cell (WBC) count was 172.7 cells/μL. Nine patients (50%) had WBC counts lower than 100 cells/μL and 13 patients (72.2%) had neutrophilic predominant WBC counts. Acid fast stain (AFS) was positive in 7 patients (38.9%). Only 2 patients (11.1%) continued with PD after TB infection, while 10 patients (55.6%) changed to hemodialysis. Seven patients (38.9%) died within 1 year. Significant differences were observed in sex (p = 0.040), the presence of diabetes mellitus (p = 0.024), and PD catheter removal (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0886022X
1525-6049
0886-022X
87723220
Relation: https://doaj.org/toc/0886-022X; https://doaj.org/toc/1525-6049
DOI: 10.1080/0886022X.2022.2153064
URL الوصول: https://doaj.org/article/cb43f221384d462c877232201aba6986
رقم الأكسشن: edsdoj.b43f221384d462c877232201aba6986
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:0886022X
15256049
87723220
DOI:10.1080/0886022X.2022.2153064