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

• Authors: Kosta Kostov , Plamen Yovchevski , Ivan Petrov
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

Tuberculous spondylitis; End-stage renal disease; IFN-γ assay; Magnetic resonance imaging; Antituberculous treatment

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 4
• Pages: 475-477

Dates

published

1 - 8 - 2010

online

30 - 5 - 2010

Contributors

author

Kosta Kostov

• Departments of Neurology, Ministry of Interior, 1606, Sofia, Bulgaria

author

Plamen Yovchevski

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

author

Ivan Petrov

• Departments of Neurology, Ministry of Interior, 1606, Sofia, Bulgaria

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Identifiers

DOI

10.2478/s11536-009-0093-7