DIAGNOSTICS AND TREATMENT OF RESPIRATORY TUBERCULOSIS IN THE PATIENT AFTER KIDNEY TRANSPORTATION
https://doi.org/10.21292/2075-1230-2017-95-10-82-87
Abstract
Tuberculosis incidence among those, expecting kidney transplantation or after kidney transplantation is 10 times higher than the one in the general population, which is related to the development of drug-induced immune deficiency. So far there is no universal approach to treatment of such patients since numerous factors are to be taken into account: drug resistance of mycobacteria, the interaction of anti-tuberculosis drugs and immunosuppressive agents, development of adverse reactions and toxic effect on the kidney. The article presents a clinical case of diagnostics and successful treatment of pulmonary tuberculosis, tuberculosis of chest lymph nodes and bronchi in the patient with chronic renal failure in the terminal stage after the kidney transportation.
About the Authors
N. L. Karpina
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Phthisiologist, Head of Consultive Polyclinic Department,
2, Yauzskaya Alleya, Moscow, 107564
O. M. Gordeeva
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Junior Researcher of Clinical Diagnostic Department, Phthisiologist of Consultive Polyclinic Department,
2, Yauzskaya Alleya, Moscow, 107564
T. S. Nabokova
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Anesthesiologist and Emergency Physician, Head of Anesthesiology and Intensive Care Department with Express Diagnostic Laboratory,
2, Yauzskaya Alleya, Moscow, 107564
I. Yu. Shabalina
Central Tuberculosis Research Institute
Russian Federation
Russian Federation
Candidate of Medical Sciences, Endoscopist of the Higher Category, Senior Researcher of Clinical Diagnostic Department,
2, Yauzskaya Alleya, Moscow, 107564
A. R. Bagdasaryan
Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs
Russian Federation
Russian Federation
Candidate of Medical Sciences, Nephrologist of Consultive Diagnostic Department,
1, Schukinskaya St., Moscow, 123182
References
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Review
For citations:
Karpina N.L., Gordeeva O.M., Nabokova T.S., Shabalina I.Yu., Bagdasaryan A.R. DIAGNOSTICS AND TREATMENT OF RESPIRATORY TUBERCULOSIS IN THE PATIENT AFTER KIDNEY TRANSPORTATION. Tuberculosis and Lung Diseases. 2017;95(10):82-87. (In Russ.) https://doi.org/10.21292/2075-1230-2017-95-10-82-87
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