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[Is urogenital tuberculosis a current disease still?]
I A Cabezudo Hernando1, F J Virto Bajo, S Soria Ruiz
1Servicio de Urología, Complejo Hospitalario San Millán-San Pedro, Logroño, La Rioja, España.
Archivos Espanoles De Urologia
|June 1, 1994
Summary
Urogenital tuberculosis cases in La Rioja exceeded national averages. Prompt diagnosis and a 9-month polychemotherapy regimen of rifampicin, ethambutol, and isoniazid effectively cleared infections in all patients.
Area of Science:
- Urology
- Infectious Diseases
- Epidemiology
Context:
- The epidemiology service in La Rioja reported higher than national average deaths and new cases of urogenital tuberculosis in 1991.
- Sixteen new cases of urogenital tuberculosis were identified between 1990-1991.
Purpose:
- To report on the clinical presentation, diagnosis, and treatment outcomes of urogenital tuberculosis in La Rioja.
- To evaluate the effectiveness of a standard 9-month polychemotherapy regimen.
Summary:
- Urgency and frequency were the most common symptoms. Bacteriological diagnosis via Lowenstein-Jensen culture was positive in 87.50% of cases.
- Urographic analyses revealed anomalies in 87.50%, primarily infundibular involvement.
- A 9-month polychemotherapy regimen (rifampicin, ethambutol, isoniazid) led to negative cultures in 100% of patients. Follow-up included various diagnostic methods.
Impact:
- Highlights the diagnostic and therapeutic challenges of urogenital tuberculosis.
- Demonstrates the efficacy of standard polychemotherapy in achieving microbiological cure.
- Emphasizes the importance of comprehensive follow-up evaluations for successful treatment outcomes.