Clinical and Experimental Nephrology

, Volume 10, Issue 2, pp 152–155

A boy undergoing maintenance hemodialysis who developed mediastinal lymph node tuberculosis

Authors

  • Mitsuru Okada
    • Department of PediatricsKinki University School of Medicine
  • Keisuke Sugimoto
    • Department of PediatricsKinki University School of Medicine
  • Kazuro Yagi
    • Department of PediatricsKinki University School of Medicine
  • Hidehiko Yanagida
    • Department of PediatricsKinki University School of Medicine
  • Nobutada Tabata
    • Department of PediatricsKinki University School of Medicine
    • Department of PediatricsKinki University School of Medicine
CASE REPORT

DOI: 10.1007/s10157-006-0419-6

Cite this article as:
Okada, M., Sugimoto, K., Yagi, K. et al. Clin Exp Nephrol (2006) 10: 152. doi:10.1007/s10157-006-0419-6

Abstract

The incidence of tuberculosis (TBC) in patients undergoing maintenance hemodialysis is reported to be higher than that in the general population. We report an 8-year-old boy receiving such treatment for chronic renal failure who developed mediastinal lymph node TBC. He showed only intermittent fever, recurring every 2 weeks, with no other symptoms suggesting TBC. Although staining and culture of pharyngeal swab and gastric juice specimens failed to provide evidence of TBC, a lymph node biopsy specimen disclosed typical pathologic findings of tuberculoma, including caseating granulomas. Antituberculous therapy with isoniazid (INH), rifampicin, pyrazinamide, and ethambutol was given for 12 months, resulting in complete resolution of the TBC, with no subsequent recurrence. To our knowledge, mediastinal lymph node localization of TBC is relatively rare, in a patient on maintenance hemodialysis, especially in a child.

Key words

TuberculosisHemodialysisEndstage renal diseaseAntituberculous therapy

Copyright information

© Japanese Society of Nephrology 2006