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Paradoxical deterioration during anti-tubercular
treatment in a dialysis patient on maintenance steroid therapy
IFN Hung, VCC Cheng, WK Lo,
S Lui
Division of Nephrology, Department of Medicine, Tung Wah Hospital,
Hong Kong
We report a 38-year-old Chinese woman with lupus
nephritis on peritoneal dialysis and long-term maintenance steroid
therapy. This patient developed paradoxical deterioration during
anti-tubercular therapy for tuberculous lymphadenitis. The deterioration
resolved spontaneously without change to pharmacotherapy. Paradoxical
deterioration that may spontaneously resolve is a potential complication
of anti-tubercular treatment in patients on long-term renal replacement
therapy.
Hong Kong Med J 2005;11:210-2
Key words: Antitubercular agents; Peritoneal dialysis;
Steroids; Tuberculosis
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