1921
Volume 84, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Extrapulmonary tuberculosis (TB) account for approximately 15–20% of TB cases in immunocompetent patients. The genitourinary system is the third most commonly affected site. We report the case of a 20-year-old man admitted with fever, chills, dry cough, right flank pain, and oliguria who developed renal function loss. The pyelogram evidenced silence of the right kidney, and the abdominal and pelvic magnetic resonance showed significant dilation of the right pyelocaliceal system and proximal ureter. Biopsies of renal cortex and retroperitoneal lymph nodes showed caseous granuloma consistent with TB. Treatment was started with rifampicin, isoniazid, pyrazinamide, and ethambutol, and the patient presented a favorable outcome but with non-dialytic chronic kidney disease. This case illustrates a case of chronic kidney disease secondary to TB in a young, otherwise healthy man.

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/content/journals/10.4269/ajtmh.2011.11-0014
2011-06-01
2017-11-23
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References

  1. Wise GJ, Merella VK, , 2003. Genitourinary manifestations of tuberculosis. Urol Clin North Am 30: 111121.[Crossref]
  2. Eastwood JB, Corbishley CM, Grange JM, , 2001. Tuberculosis and the kidney. J Am Soc Nephrol 12: 13071314.
  3. Daher EF, Silva Júnior GB, Damasceno RT, Santos GM, Corsino GA, Silva SL, Gutierrez-Adrianzen OA, , 2007. End-stage renal disease due to delayed diagnosis of renal tuberculosis: a fatal case report. Braz J Infect Dis 11: 169171.[Crossref]
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  • Received : 06 Jan 2011
  • Accepted : 06 Feb 2011

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