Abstract
A 61-year-old female patient with diabetes undergoing maintenance hemodialysis presented with fever and swelling of her right breast. She had been unresponsive to nonspecific antimicrobial therapies. Breast tuberculosis and tuberculous lymphadenitis were diagnosed by excision biopsy and tissue culture. A combination antituberculous treatment including isoniazid, rifampin, ethambutol, and pyrazinamide was started and resulted in the remission of the lesions by the end of the first month of therapy.
References
Hussein MM, Mooij JM, Roujouleh H (2003) Tuberculosis and chronic renal disease. Semin Dial 16:38–44
Sen N, Turunc T, Karatasli M, Sezer S, Demiroglu YZ, Oner Eyuboglu F (2008) Tuberculosis in patients with end-stage renal disease undergoing dialysis in an endemic region of Turkey. Transplant Proc 40:81–84
Sav T, Tokgoz B, Sipahioglu MH, Mavili E, Oymak O, Utas C (2009) Extrapulmonary tuberculosis in a hemodialysis patient with unusual clinical presentation. Int Urol Nephrol 42:223–226
Christopoulos AI, Diamantopoulos AA, Dimopoulos PA, Goumenos DS, Barbalias GA (2009) Male-female differences in the risk of tuberculosis in dialysis patients. Int Urol Nephrol 41:671–677
Ramakrishna P, Ch Ramakrishna, SunilKumar K et al (2008) Spinal epidural abscess in an elderly diabetic end stage renal disease patient on continuous ambulatory peritoneal dialysis. Int Urol Nephrol 40:241–243
Lui SL, Yip T, Tse KC, Chan TM, Lai KN, Lo WK (2007) Tuberculous lymphadenitis in patients undergoing continuous ambulatory peritoneal dialysis. Int Urol Nephrol 39:971–974
Centers for Disease Control, Prevention (CDC) (1998) Summary of notifiable diseases, United States, 1997. MMWR Morb Mortal Wkly Rep 46:9
Sester M, Sester U, Clauer P et al (2004) Tuberculin skin testing underestimates a high prevalence of latent tuberculosis infection in hemodialysis patients. Kidney Int 65:1826–1834
Malik GH, Al-Harbi AS, Al-Mohava S (2002) Eleven years of experience with dialysis associated tuberculosis. Clin Nephrol 58:356–362
Chuang FR, Lee CH (2003) Extrapulmonary tuberculosis in chronic hemodialysis patients. Ren Fail 25:739–746
Mukerjee P, George M, Maheshwari HB, Rao CP (1974) Tuberculosis of the breast. J Indian Med Assoc 62:410–412
Mckeown KC, Wilkinson KW (1952) Tuberculous diseases of the breast. Br J Surg 39:420
Sharma PK, Babel AL, Yadav SS (1991) Tuberculosis of breast (study of 7 cases). J Postgrad Med 37:24–26
Alagaratnam TT, Ong GB (1980) Tuberculosis of the breast. Br J Surg 67:125–126
Dharkar RS, Kanhere MH, Vaishya ND, Baisarya AK (1968) Tuberculosis of the breast. J Indian Med Assoc 50:207–209
Sasaki S, Akiba T, Suenaga M et al (1979) Ten years survey of dialysis associated tuberculosis. Nephron 24:141–145
Madhusudhan KS, Gamanagatti S (2008) Primary breast tuberculosis masquerading as carcinoma. Singapore Med J 49:e3–e5
Sakr AA, Fawzy RK, Fadaly G, Baky MA (2004) Mammographic and sonographic features of tuberculous mastitis. Eur J Radiol 51:54–60
Kakkar S, Kapila K, Singh MK, Verma K (2000) Tuberculosis of the breast. A cytomorphologic study. Acta Cytol 44:292–296
Katoch VM (2004) Newer diagnostic techniques for tuberculosis. Indian J Med Res 120:418–428
Chou KJ, Fang HC, Bai KJ, Hwang SJ, Yang WC, Chung HM (2001) Tuberculosis in maintenance dialysis patients. Nephron 88:138–143
Al-Homray M (1997) Successful therapy of tuberculosis in hemodialysis patients. Am J Nephrol 17:32–35
Mitwalli A (1991) Tuberculosis in patients on maintenance dialysis. Am J Kidney Dis 18:579–582
Conflict of interest statement
The authors declare they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yazici, O., Mescigil, P., Kepenekci, I. et al. Tuberculosis of the breast in a patient undergoing hemodialysis. Int Urol Nephrol 43, 241–244 (2011). https://doi.org/10.1007/s11255-010-9731-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11255-010-9731-x