Urinary Tuberculosis: Serious Complications May Occur when Diagnosis is Delayed

Authors

  • Inês Sanches Serviço de Pneumologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
  • Cláudia Pinto Serviço de Pneumologia. Centro Hospitalar de Trás-os-Montes e Alto Douro. Vila Real. Portugal.
  • Mário Sousa Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Centro de Saúde de Espinho. Espinho. Portugal.
  • Aurora Carvalho Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Serviço de Pneumologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal.
  • Raquel Duarte Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Serviço de Pneumologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal. Departamento de Epidemiologia Clinica, Medicina Preditiva e Saúde Pública. Faculdade de Medicina. Universidade do Porto. Porto. Portugal. Instituto de Saúde Publica. Universidade do Porto. Porto. Portugal.
  • Manuel Pereira Serviço de Urologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal.

DOI:

https://doi.org/10.20344/amp.5521

Keywords:

Tuberculosis, Urogenital, Urinary Tract Infections.

Abstract

Genitourinary tuberculosis is the third most common form of extrapulmonary tuberculosis, comprising 4 - 17% of extrapulmonary forms. The authors describe the case of a patient with recurrent urinary tract infections, without isolation of an infectious agent and without symptomatic resolution, despite antibiotic treatment. Imaging exams showed left ureteral stenosis with moderate hydronephrosis. The attempt of retrograde catheterization was impossible so we opted for percutaneous nephrostomy to renal relief. Microbiological urine
analysis colleted by that way was positive for Mycobacterium tuberculosis complex. The patient started therapy with classical quadruple therapy and underwent nephrostomy for catheter placement. Despite therapeutic measures the patient required nephrectomy due to nonfunctioning kidney. Genitourinary tuberculosis is a diagnosis that should be considered in the presence of a persistent sterile pyuria.

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Published

2015-06-04

How to Cite

1.
Sanches I, Pinto C, Sousa M, Carvalho A, Duarte R, Pereira M. Urinary Tuberculosis: Serious Complications May Occur when Diagnosis is Delayed. Acta Med Port [Internet]. 2015 Jun. 4 [cited 2024 Feb. 25];28(3):382-5. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/5521

Issue

Section

Case Report