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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2007  |  Volume : 18  |  Issue : 4  |  Page : 603-608
Multi-Drug-Resistant Tuberculosis in a Patient Presenting with Bilateral Gluteal Abscesses and Right Leg Swelling with End-Stage Renal Disease


1 Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
2 Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
3 Department of Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
4 Department of Radiology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia

Correspondence Address:
Saeed M.G Al-Ghamdi
Department Medicine, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah 21499
Saudi Arabia
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PMID: 17951951

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This is a 40-year-old woman with end-stage renal disease (ESRD). She received empirical treatment for presumed TB of the right knee joint. The arthritis and the constitutional symptoms resolved despite the patient's poor compliance. One year later, she presented with TB abscesses involving the upper end of right tibia and bilateral gluteus muscles, which proved to be resistant to isoniazid, rifampicin and ethambutol. The patient was successfully treated with pyrazinamide, ofloxacin and amikacin.


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