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Gross hematuria associated with genitourinary tuberculosis
Eun Hui Bae1, Sukhee Heo, Yeong Hui Kim
1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Chonnam Medical Journal
|May 17, 2013
Summary
A young man experienced sudden severe bleeding and urinary issues due to a rare, early-stage genitourinary tuberculosis infection. This case highlights an unusual cause of acute kidney injury from bladder mucosal erosion.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Background:
- Genitourinary tuberculosis (TB) often presents with nonspecific symptoms and is typically diagnosed in chronic stages.
- Early detection of genitourinary TB is challenging due to its subtle and varied clinical manifestations.
Observation:
- A 27-year-old male presented with acute gross hematuria and urinary retention.
- Imaging revealed left kidney abnormalities and a significant bladder hematoma.
- Diagnostic procedures confirmed Mycobacterium tuberculosis infection.
Findings:
- The patient's presentation was attributed to a subacute stage of genitourinary TB.
- Mucosal erosion and bleeding in the bladder were identified as the direct cause of symptoms.
- This led to an unusual presentation of acute kidney injury.
Implications:
- This case underscores the importance of considering genitourinary TB in patients with unexplained hematuria and urinary symptoms, even in earlier stages.
- Highlights an atypical cause of acute kidney injury requiring prompt diagnosis and treatment.
- Emphasizes the need for increased awareness of genitourinary TB's diverse presentations in clinical practice.
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