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03:47
A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
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Renal tuberculosis with genitourinary sequelae: a case report
Raphael Rocco1, Bianca Balzano de la Fuente Villar2, Laura da Cunha Ferreira2
1Hospital Universitário Antonio Pedro, Serviço de Infectologia, Niterói, Rio de Janeiro, Brazil.
Revista Do Instituto De Medicina Tropical De Sao Paulo
|April 8, 2025
Summary
Urogenital tuberculosis (UGT) presents subtle symptoms, delaying diagnosis and leading to severe kidney damage. Early detection and treatment are crucial to prevent irreversible complications like renal failure.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Background:
- Urogenital tuberculosis (UGT) is an extrapulmonary TB form with vague symptoms.
- Delayed diagnosis of UGT leads to severe, irreversible complications.
Observation:
- A 38-year-old man presented with low back pain, hematuria, dysuria, and urinary frequency.
- Initial UTI treatment failed; kidney imaging revealed stones, nodules, and cysts.
- Positive tuberculin skin test and Mycobacterium tuberculosis in urine confirmed UGT.
Findings:
- Standard six-month antituberculosis therapy was initiated, followed by retreatment for persistent symptoms.
- Significant symptom improvement occurred, but irreversible urological sequelae persisted.
- Sequelae included infundibular stenosis, polyuria, and nocturia.
Implications:
- Early suspicion and diagnosis of UGT are vital to minimize long-term urological damage.
- Extended treatment duration may be necessary for complex UGT cases.
- Further research is needed to optimize UGT treatment strategies and reduce sequelae.
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