Abstract
A 71-year-old man undergoing chronic hemodialysis due to hypertensive nephrosclerosis was admitted to our hospital because of high fever. After treatment for pneumonia, swelling of cervical lymph nodes was found. Upon examination of sputum culture, TB-PCR was negative. Biopsy specimen of the cervical lymph node demonstrated epithelioid granulomas with caseous necrosis and biopsy material revealed a positive TB-PCR result. The patient was diagnosed with tuberculous lymphadenitis. Intrahepatic nodular lesions and swelling of lymph nodes along the common hepatic artery were observed on computed tomography. Antituberculous treatment was started and continued for 6 months. All lesions improved after treatment. Latent tuberculosis infection should be considered when patients undergoing dialysis have continuous fever and high serum CRP level after the treatment of pneumonia.
