MANAGEMENT DIFFICULTIES IN DISSEMINATED TUBERCULOSIS PATIENT ON CONTINUOUS AMBULATORY PERITONEAL DIALYSIS

C CHANG 1, A Ogiji K Tan 1, V Khelgi 1

1Logan Hospital, Meadowbrook, Australia

Background: Disseminated tuberculosis (TB) rates are increasing in developed countries due in part to use of immunosuppressive drugs.

 Case Report: Herein we report a case of a 42-year-old Samoan female on continuous ambulatory peritoneal dialysis (CAPD) who presented with nonspecific symptoms of large joint pain, concurrent chronic cough, abdominal pain, and cloudy peritoneal dialysate. Sputum, blood, peritoneal dialysate, and joint aspirate all tested positive for Mycobacterium tuberculosis, and a diagnosis of disseminated TB was established. Tenckhoff catheter was removed due to ongoing abdominal pain and cloudy dialysate. She was commenced on anti TB treatment and isolated in negative pressure room.

Conclusion: This case underscores the difficulties in management both clinically and logistically of an unwell patient on PD with disseminated TB.


Biography:

Bio to come

Recent Comments
    Categories