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[Renal mycobacteriosis].
Srpski Arhiv Za Celokupno Lekarstvo
|March 1, 1994
Summary
Renal mycobacteriosis, a disease mimicking renal tuberculosis, is caused by opportunistic mycobacteria. This review highlights diagnostic criteria and treatment for this challenging infection, including a case of Mycobacterium chelonei.
Area of Science:
- Infectious Diseases
- Microbiology
- Nephrology
Background:
- Opportunistic mycobacteria, typically environmental saprophytes, can cause specific infections.
- Renal mycobacteriosis presents clinically similar to renal tuberculosis, complicating diagnosis.
Observation:
- Common causative agents include Mycobacterium chelonei, fortuitum, xenopi, kansasii, avium complex, and simiae.
- Diagnosing renal mycobacterial infections is challenging, necessitating refined diagnostic criteria.
Findings:
- The study reviews clinical features, diagnosis, and treatment of renal mycobacteriosis.
- A case of pyelonephritis and cystitis caused by Mycobacterium chelonei is presented.
- Diagnostic criteria, including a revision of Davidson's sign, are suggested to aid in establishing the diagnosis.
Implications:
- Improved diagnostic criteria can lead to earlier and more accurate identification of renal mycobacteriosis.
- Effective chemotherapeutic regimens, informed by clinical experience and literature, are crucial for successful treatment.
- Understanding the clinical spectrum and management of these infections is vital for patient outcomes.
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