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| ORIGINAL ARTICLE |
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| Year : 2009 |
Volume
: 20 | Issue : 2 | Page
: 254-259 |
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Characteristics and outcomes of end-stage renal disease patients with active tuberculosis followed in intensive care units
Sevinc Sarinc Ulasli1, Gaye Ulubay1, Nevra Gullu Arslan1, Siren Sezer2, Sule Akcay1, Fusun Oner Eyuboglu1, Mehmet Haberal3
1 Department of Pulmonary Diseases, Baskent University, Faculty of Medicine, Ankara, Turkey
2 Department of Nephrology, Baskent University, Faculty of Medicine, Ankara, Turkey
3 Department of General Surgery, Baskent University, Faculty of Medicine, Ankara, Turkey
Correspondence Address:
Sevinc Sarinc Ulasli
Department of Pulmonary Diseases, Baskent University, Fevzi Cakmak Cad, 5 sok, No 48, Postal Code 06490, Besevler, Ankara
Turkey
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PMID: 19237814 
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Tuberculosis (TB) remains a common problem in patients with chronic renal failure. In intensive care units, misdiagnosis or delayed diagnosis of TB is common. Therefore, a description of characteristics of active TB in patients with renal failure followed in intensive care units is important to reduce mortality and transmission of the disease. This study was performed to describe the characteristics of patients with renal failure admitted to the intensive care units and having active TB and evaluate predictive factors for in hospital mortality. The hospital records of 24 patients (11 women, 13 men) having ESRD and TB between 2001-2006 were reviewed. Clinical, radiological, and laboratory data on admission were recorded. Possible parameters contributing to in-hospital mortality were obtained from the medical records. In-hospital mortality rate was 66.6%. Factors associated with mortality were decreased partial pressure of oxygen and malnutrition. Fever was reported in 8 patients and hemoptysis was reported in 3 patients. Eight patients had consolidation on chest radiograph, while 4 had normal findings Seventeen patients had pulmonary involvement, and 11 had extra pulmonary involvement. The mortality rate in TB patients followed in intensive care units is high, with 3 factors contributing to in-hospital mortality. Clinicians should consider active TB in renal failure patients being followed in the intensive care unit, even when results of a chest radiograph are normal especially in patients with unexplained poor general health or respiratory failure. |
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