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To the Editor.—
Our thanks to Pradhan et al (229:798, 1974) for alerting us to the possibility of tuberculosis in dialyzed patients. In addition to their discussion of the feasibility of isoniazid prophylaxis, it would appear that a history of tuberculin-positive skin test without subsequent isoniazid chemoprophylaxis or antituberculous therapy would in itself be an indication for institution of isoniazid chemoprophylaxis in the uremic patient. While present knowledge may not dictate isoniazid for all dialysis patients, certainly those who have known tuberculin skin-test positivity in the past should have the benefits.
Meinershagen CW, Donnell HD. Tuberculosis in Dialyzed Patients. JAMA. 1974;230(6):825. doi:10.1001/jama.1974.03240060015016