Tuberculous peritonitis in a haemodialysis patient with elevated serum CA 125 and hypercalcaemia

Ik, Wang; Fr, Chuang; Lee, KF; Lin, Chun‐Cheng; Chang, Huoy-Rou; Ck, Huang

doi:10.1111/j.1368-504x.2005.00401.x

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…A predominance of neutrophils was more common in peritoneal dialysate (n=13). Four cases reported development of hypercalcemia (Lee et al, 2002;Wang et al, 2005;Borrajo et al, 2009;Kuno et al, 2010), with three cases on HD, one case on peritoneal dialysis (PD). The condition improved with normalization of hypercalcemia after the anti-TB treatment.…”

Section: Review Of the Literaturementioning

confidence: 99%

Extra-pulmonary tuberculosis infection in the dialysis patients with end stage renal diseases: case reports and literature review

Yang

Han

Zhang

et al. 2013

J. Zhejiang Univ. Sci. B

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The diagnosis of extra-pulmonary tuberculosis (TB) seems relatively difficult due to the absence of specific symptoms and signs in patients on peritoneal dialysis or hemodialysis. We report four cases of extra-pulmonary tuberculosis on dialysis, with two cases on peritoneal dialysis and two cases on hemodialysis. The presentations, therapy, and outcomes of TB infection in these patients were reviewed. Otherwise, the English literature published in the PubMed database associating extra-pulmonary tuberculosis on dialysis over the last three decades is reviewed. A total of 61 studies containing 70 cases were included. The most common primary disease was diabetic nephropathy (22.86%, 16/70). The peritoneum (31.42%, 22/70), bone (21.42%, 15/70), and lymph node (20%, 14/70) were the most frequently infected. Single organ infection was common (90%, 63/70). Fever (58.57%, 41/70), pain (35.71%, 25/70), and enlarged lymph node (20%, 14/70) were the most common symptoms. Biopsy (67.14%, 47/70) and culture (40%, 28/70) provided most reliable methods for clear diagnosis of tuberculosis. The combined treatment of isoniazid, rifampicin, pyrazinamide, and ethambutol (44.29%, 31/70) was the most common therapy. The majority of patients improved (82.86%, 58/70); however, 12 cases got worse (17.14%), with 10 of them dying (14.29%). Physicians should be aware of the non-specific symptoms and location of infection, and consider tuberculosis in their differential diagnoses in dialysis patients presenting with symptoms such as fever, pain, and weight loss.

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Section: Review Of the Literaturementioning

confidence: 99%

Extra-pulmonary tuberculosis infection in the dialysis patients with end stage renal diseases: case reports and literature review

Yang

Han

Zhang

et al. 2013

J. Zhejiang Univ. Sci. B

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Diagnostic Difficulties in Woman with Crohn’s Disease, Ascites, and Elevated Value of Serum CA125 Antigen

Kłopocka

Liebert

Bielińska

et al. 2014

Case Reports in Medicine

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Variety of symptoms and atypical clinical course of Crohn's disease (CD) often create the need for additional diagnostic procedures. In the described case of woman with CD, there was a suspicion of coexistence of ovarian cancer. This issue is particularly important in patients treated with immunosuppressants and biological agents. The discussion focused on the usefulness of CA125 (cancer antigen 125, mucin 16) serum level estimation in clinical practice and draws attention to the possible reasons for the increase of its value which is not associated to ovarian cancer.

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Validity of the CA125 Level in the Differential Diagnosis of Pulmonary Tuberculosis

et al. 2008

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The aim of the current study was to determine the possible crucial role of cancer antigen 125 (CA125) in the diagnosis of pulmonary tuberculosis (PTB). The CA125 levels of study and control groups were statistically compared. In a total of 146 patients that were included in the current study, 30 had active PTB, 37 inactive PTB, 28 community-acquired pneumonia (CAP), 25 pleural or pulmonary malignancies, and 13 patients exacerbation of chronic obstructive pulmonary disease. The mean CA125 levels in

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Tuberculous peritonitis in a haemodialysis patient with elevated serum CA 125 and hypercalcaemia

Cited by 3 publications

References 24 publications

Extra-pulmonary tuberculosis infection in the dialysis patients with end stage renal diseases: case reports and literature review

Extra-pulmonary tuberculosis infection in the dialysis patients with end stage renal diseases: case reports and literature review

Diagnostic Difficulties in Woman with Crohn’s Disease, Ascites, and Elevated Value of Serum CA125 Antigen

Validity of the CA125 Level in the Differential Diagnosis of Pulmonary Tuberculosis

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