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HEMODİYALİZ HASTASINDA ALIŞILMADIK PREZENTASYON GÖSTEREN EKSTRAPULMONER TÜBERKÜLOZ

AN UNUSUAL PRESENTATION OF EXTRAPULMONARY TUBERCULOSIS IN A HEMODIALYSIS PATIENT

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Here, a fifty nine year old woman with extrapulmonary tuberculosis and pyogenic infection involving cervical spine is presented. The patient had chronic renal failure and was on maintenance hemodialysis for two years. She was on physiotherapy for neck pain when she suddenly developed weakness in both arms and difficulty in walking. Physical examination revealed stiffness in the neck, weakness in all extremities and two tender lymphadenopathies in the right supraclavicular area. In radiological examinations an epidural abscess with destruction of C5-C7 vertebral bodies was found. Histopathological examination of the biopsy from supraclavicular lymph nodes showed granulomatous lymphadenitis. The lungs were normal both clinically and also radiologically. She then underwent an operation and histopathology of the operation specimen showed similar granulomas containing Langhans type giant cells and central caseification together with a nonspecific pyogenic inflammation in the surrounding soft tissue. Medical therapy with antituberculosis agents and antibiotics was started and partial recovery was achieved.
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Abstract (Original Language): 
Burada, alt servikal vertebralarda osteomyelit ve abseye neden olan, nonspesifik pyojenik enfeksiyonla birlikte seyreden bir ekstrapulmoner tüberküloz olgusu, alışrfmadık prezentasyonu nedeniyle sunulmaktadır. Ellidokuzyaşındaki kadın hasta KBYnedeniyle 2yıldır düzenli hemodiyaliz programında izlenmekteydi. Hastaya boyun ağrısı nedeniyle fizyoterapi uygulanmaktayken her iki kolda güçsüzlük, uyuşma ve yürüme güçlüğü yakınması gelişti. Radyolojik incelemede C5-C7 servikal vertebrayı destrükte eden epidural abse saptandı. Supraklaviküler lenf nodu biyopsisinde, granülomatöz lenfadenitis görüldü. Öpere edilen hastanın operasyon materyalinin histopatolojik incelemesinde Langhans tipi dev hücre içeren, santral kazeifikasyon nekrozu gösteren granülomlar ile çevre yumuşak dokuda nonspesifik piyojenik infeksiyon bulguları görüldü. Antitüberküloz ve antibiyotik tedavisi başlanan hastanın izleminde semptomlarında parsiyel düzelme saptandı.
FULL TEXT (PDF): 
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  • 2
122-124
  • Turkish

REFERENCES

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