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[The Great Imitator. Case report].

Mihály Murányi1, Zoltán Kiss1, Antal Farkas1

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Summary
This summary is machine-generated.

Renal tuberculosis presents diagnostic challenges, as seen in two patients. Early diagnosis and appropriate treatment, including surgery and antibiotics, are crucial for managing this kidney infection.

Keywords:
nephrectomianephrectomyrenal tuberculosistuberculosisurogenital tuberculosisurogenitalis tuberculosisvesetuberculosis

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Renal tuberculosis (TB) can mimic other renal pathologies, leading to diagnostic difficulties.
  • Prompt and accurate diagnosis is essential for effective management and preventing complications.

Observation:

  • Two cases of renal TB are presented, highlighting diagnostic challenges.
  • The first patient presented with fever and flank pain, showing renal shrinkage and ureteric stricture.
  • The second patient initially presented with a staghorn stone and perirenal abscess, later diagnosed with renal TB post-nephrectomy.

Findings:

  • Mycobacterium tuberculosis was identified in the first patient's urine culture.
  • The second patient initially showed Proteus morganii in abscess culture, but histology confirmed renal TB.
  • Both patients required surgical intervention (nephrectomy) after initial treatments proved insufficient.

Implications:

  • These cases underscore the importance of considering renal TB in patients with persistent or atypical urinary tract infections.
  • Comprehensive diagnostic workup, including imaging and microbiological cultures, is vital.
  • Timely diagnosis and tailored treatment strategies, potentially involving surgery and antitubercular therapy, improve patient outcomes.