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Epidemiological review reveals rising tuberculosis and multidrug-resistant strains in peritoneal dialysis patients, highlighting the need for prompt diagnosis and targeted chemotherapy.
OBJECTIVE: To call attention to the worldwide increase in tuberculosis and to review the disease in peritoneal dialysis patients. DATA SOURCES: Recent epidemiological publications. DATA EXTRACTION: Epidemiological data summarized in tables and diagnostic and therapeutic recommendations reviewed. CONCLUSIONS: Tuberculosis is on the rise worldwide. Multiple drug-resistant strains are emerging, causing therapeutic problems. The role of atypical mycobacterial infections in continuous ambulatory peritoneal dialysis (CAPD) is reviewed. Early diagnosis of cases and thorough chemotherapy are advocated.
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Stephen I. Vas (1994) studied this question.
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