Hong Kong Med J 2005;11:210-2 | Number 3, June 2005
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.
Key words: Antitubercular agents; Peritoneal dialysis; Steroids; Tuberculosis
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