Genitourinary tuberculosis masquerading as a ureteral calculus
Nathan Wong1, Nathan A Hoag, Edward C Jones
1University of British Columbia, Department of Urologic Sciences, Gordon & Leslie Diamond Health Care Centre, Vancouver, BC;
Abstract:
The genitourinary tract is a common extrapulmonary site of tuberculosis infection, yet remains a rare clinical entity in North America. We report the case of a 37-year-old man who presented for extracorporeal shock wave lithotripsy for a suspected ureteral stone on imaging. Further workup confirmed a diagnosis of genitourinary tuberculosis. Medical management was undertaken and, ultimately, nephrectomy performed. This case highlights the importance of maintaining a high index of clinical suspicion for genitourinary tuberculosis.
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