title: [Tuberculosis in chronic hemodialysis patients at the Teaching Hospital of Point G (CHU) in Bamako].
abstract: OBJECTIVE
  To determine the frequency and the diagnostic difficulties of tuberculosis of haemodialysis patients.
  
  
  METHODS
  The study was about a retrospective analyse of patients haemodialysis records treated for tuberculosis within January 2003 to April 2006. The tuberculosis check-up contained a questioning, a meticulous clinic examination, thorax radiography, a tuberculosis intra dermoreaction (IDR) and the search of Koch Bacillus (BK) in biological liquids.
  
  
  RESULTS
  Tuberculosis was identified to 15.52% of haemodialysis patients (10/95). The average age of our patients was from 44.3 years, with a ratio sex of 2.5 in favour of men. Tuberculosis infection happened on average 27.4 months after the beginning of the haemodialysis. We found out 50% of extra pulmonary tuberculosis (three peritoneales and two pleurales); and 50% of pulmonary tuberculosis. The IDR was positive in two cases (2/6). The search of BK didn't succeed. We reported three deaths.
  
  
  CONCLUSIONS
  The effect of tuberculosis to chronic haemodialysis patients is very high. The diagnostic is sometimes difficult and is based only on specific therapeutic test.
authors: Service de Nephrologie, CHU du Point G, Bamako, Mali. ddiallo2006@yahoo.fr
authors: S
authors: S
authors: Fongoro
authors: D
authors: D
authors: Diallo
authors: Y
authors: Y
authors: Toloba
authors: S
authors: S
authors: Diallo
authors: H
authors: H
authors: Maïga
authors: C
authors: C
authors: Arama
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008302:Mali; D006435:Renal Dialysis; D012189:Retrospective Studies; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology*