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Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
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Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
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Pulmonary Tuberculosis I

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
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A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients

Published on: October 25, 2024

Paraspinal sinuses? Do remember renal tuberculosis.

Chhaya Bhatt¹, Sambhav Lodha

¹Radiodiagnosis Department, VS Hospital and NHL Municipal Medical College, Ahmedabad, Gujarat, India. chhayaj.bhatt@yahoo.com

BMJ Case Reports

|May 19, 2012

Summary

Genitourinary tuberculosis can manifest as a paraspinal abscess. This case highlights a rare presentation of tuberculous kidney with a sinus tract, emphasizing the need for advanced imaging in diagnosis.

Area of Science:

Nephrology
Infectious Diseases
Radiology

Background:

Genitourinary tuberculosis (GTB) affects 4%-8% of pulmonary tuberculosis patients.
GTB commonly involves the kidneys and urinary tract.
Paraspinal abscesses are an uncommon manifestation of GTB.

Observation:

A 30-year-old female presented with a 6-month history of progressive right-sided back swelling, pain, and low-grade fever.
Initial X-rays were unremarkable.
Ultrasound revealed pyonephrosis with a posterior paraspinal abscess and sinus tract.

Findings:

CT scan confirmed a tuberculous kidney and upper ureteric stricture with a sinus tract originating in the posterior paraspinal region.
The patient underwent a right nephrectomy.

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Histopathology confirmed tuberculous kidney.

Implications:

This case underscores the importance of considering GTB in patients with paraspinal abscesses, even with normal initial imaging.
Advanced imaging like CT is crucial for diagnosing complex GTB presentations.
Prompt diagnosis and treatment are essential to prevent complications and manage this rare manifestation of tuberculosis.