Abstract
Cervical lymph node tuberculosis is reported in a 61-year-old female on hemodialysis for chronic renal insufficiency.
After a fever unknown origin (FUO), several cervical lymph nodes were painful and swollen, and a diagnosis of lymph node tuberculosis was established by histopathologic examination of biopsy specimens from the lymph nodes. A remission was achieved after simultaneous administration of isoniazid, 0.2g/day, and rifampicin, 0.45g/day for 10 months, and streptomycin, 0.5g/day, for 3 months.
Tuberculosis often occurs within 3 months after the start of hemodialysis, and its incidence is known to be high after 1-2 years. The present patient developed tuberculosis about 2 years after the start of hemodialysis. Caution is needed with regard to tuberculosis in dialysis patients, because it is often a typical and extrapulmonary, and frequently presents with FUO.
