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Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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Urinary Tract Infection II: Pathophysiology01:25

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The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
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Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
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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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An Orthotopic Bladder Tumor Model and the Evaluation of Intravesical saRNA Treatment
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Urinary tuberculosis presented as isolated bladder lesion - a case report.

F H Siddique1, B Uddin, F M Saleh

  • 1Dr Md Fazlul Haq Siddique, Assistant Professor & Head, Department of Urology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.

Mymensingh Medical Journal : MMJ
|March 4, 2014
PubMed
Summary
This summary is machine-generated.

Genitourinary tuberculosis (GUTB) is an uncommon TB form. Early diagnosis of urinary bladder tuberculosis is crucial for painless hematuria and sterile pyuria to ensure effective treatment and symptom resolution.

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Area of Science:

  • Urology
  • Infectious Diseases
  • Pathology

Background:

  • Extra-pulmonary Tuberculosis (EPTB) can manifest in any organ, with Genitourinary Tuberculosis (GUTB) being a significant cause of morbidity despite its rarity.
  • Genitourinary Tuberculosis (GUTB) presents diverse clinical scenarios, necessitating a high index of suspicion for accurate diagnosis.

Observation:

  • A 45-year-old female presented with painless hematuria and urinary incontinence.
  • Diagnosis of urinary bladder tuberculosis was confirmed via histopathology of a bladder lesion, supported by constitutional symptoms and a family history of pulmonary tuberculosis (PTB).
  • Persistent sterile pyuria was noted, with no evidence of upper urinary tract involvement.

Findings:

  • Histopathology confirmed urinary bladder tuberculosis as the cause of the patient's symptoms.
  • Anti-TB treatment (Category 1) initiated led to satisfactory recovery and symptom improvement, with incontinence persisting.

Implications:

  • Urinary tuberculosis should be considered in patients presenting with painless hematuria and recurrent sterile pyuria.
  • Prompt diagnosis and treatment of GUTB are essential for managing morbidity and improving patient outcomes.
  • Further research into the long-term sequelae of GUTB, such as persistent incontinence, may be warranted.