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Acute renal failure in bilateral urinary tract tuberculosis
S Gupta1, V Bhatnagar, D K Mitra
1Department of Paediatric Surgery, All India Institute of Medical Sciences, New-Delhi, India.
Pediatric Surgery International
|May 1, 1998
Summary
This case report details the first instance of bilateral urinary tract tuberculosis causing acute renal failure. Surgical management involved ureteral replacement with ileal loops to restore kidney function.
Area of Science:
- Nephrology
- Urology
- Infectious Diseases
Background:
- Urinary tract tuberculosis (UTTB) is a significant global health concern, often presenting with subtle or atypical symptoms.
- Acute renal failure (ARF) as a primary manifestation of bilateral UTTB is exceptionally rare, posing diagnostic and therapeutic challenges.
Observation:
- A unique case of bilateral UTTB is presented, where the initial and most severe clinical manifestation was acute renal failure.
- The diagnostic pathway and clinical course highlight the importance of considering uncommon presentations of infectious diseases.
Findings:
- This report documents the first known case of bilateral UTTB presenting with acute renal failure.
- The surgical intervention included preliminary high urinary diversion followed by bilateral ureter replacement using ileal conduits, anastomosed end-to-side and implanted into the bladder.
Implications:
- This case expands the spectrum of clinical presentations for urinary tract tuberculosis.
- The successful surgical management underscores the viability of reconstructive urological procedures in managing complex UTTB cases.
- Highlights the need for heightened clinical suspicion for UTTB in patients presenting with unexplained acute renal failure.