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2010 | 5 | 4 | 475-477

Article title

Tuberculous spondylitis in patients with end-stage renal disease undergoing chronic hemodialysis therapy - Report of two cases


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Tuberculous spondylitis is more common in patients with chronic renal failure who receive hemodialysis because of their abnormal T-cell-mediated immunity. It frequently poses both diagnostic and therapeutic challenges. We describe two cases of tuberculous spondylitis in patients undergoing chronic hemodialysis therapy. They are IFN-γ assay diagnosed (QuantiFERON-TB Gold) and conservatively treated. Our cases suggest that IFN-γ assays equip clinicians with more accurate tools for tuberculosis control. A combination of T-SPOT.TB testing and MRI assessment may be the accurate method to diagnose tuberculous spondylitis in patients with end-stage renal disease.










Physical description


1 - 8 - 2010
30 - 5 - 2010


  • Departments of Neurology, Ministry of Interior, 1606, Sofia, Bulgaria
  • Nephrology of Medical Institute, Ministry of Interior, 1606, Sofia, Bulgaria
  • Departments of Neurology, Ministry of Interior, 1606, Sofia, Bulgaria


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