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Review of genitourinary tuberculosis with focus on end-stage renal disease / Revisão acerca da tuberculose genitourinária com foco na insuficiência renal crônica terminal
Lima, Neiberg A; Vasconcelos, Carol C; Filgueira, Pedro Henrique O; Kretzmann, Meissa; Sindeaux, Ticiano A. S; Feitosa Neto, Beni; Silva Junior, Geraldo B; Daher, Elizabeth F.
  • Lima, Neiberg A; Hospital Geral de Fortaleza. Fortaleza. BR
  • Vasconcelos, Carol C; UDI. Teresina. BR
  • Filgueira, Pedro Henrique O; Federal University of Ceará. School of Medicine. Department of Internal Medicine. Fortaleza. BR
  • Kretzmann, Meissa; Federal University of Ceará. School of Medicine. Department of Internal Medicine. Fortaleza. BR
  • Sindeaux, Ticiano A. S; Federal University of Ceará. School of Medicine. Department of Internal Medicine. Fortaleza. BR
  • Feitosa Neto, Beni; Hospital Geral de Fortaleza. Fortaleza. BR
  • Silva Junior, Geraldo B; Federal University of Ceará. School of Medicine. Department of Internal Medicine. Fortaleza. BR
  • Daher, Elizabeth F; Hospital Geral de Fortaleza. Fortaleza. BR
Rev. Inst. Med. Trop. Säo Paulo ; 54(1): 57-60, Jan.-Feb. 2012. ilus
Article in English | LILACS | ID: lil-614898
ABSTRACT
Tuberculosis (TB) is a current public health problem, remaining the most common worldwide cause of mortality from infectious disease. Recent studies indicate that genitourinary TB is the third most common form of extra-pulmonary disease. The diagnosis of renal TB can be hypothesized in a non-specific bacterial cystitis associated with a therapeutic failure or a urinalysis with a persistent leukocyturia in the absence of bacteriuria. We report on the case of a 33-year-old man who presented on admission end stage renal disease (ESRD) secondary to renal TB and a past history of pulmonary TB with important radiologic findings. The diagnosis was based on clinical findings despite all cultures being negative. Empiric treatment with tuberculostatic drugs was started and the patient became stable. He was discharged with no symptom, but without renal function recovery. He is on maintenance hemodialysis three times a week. TB is an important cause of kidney disease and can lead to irreversible renal function loss.
RESUMO
A tuberculose (TB) é um problema atual de saúde pública, persistindo como a causa mais comum de óbito por doenças infecciosas. Estudos recentes indicam que a TB genitourinária é a terceira forma mais comum de doença extra-pulmonar. O diagnóstico da TB renal pode ser suspeito na presença de cistite bacteriana não-específica associada a falha terapêutica ou com exame de urina apresentando leucocitúria persistente na ausência de bacteriúria. Relatamos o caso de um paciente de 33 anos, sexo masculino, que apresentou na admissão insuficiência renal crônica terminal secundária à TB renal, que tinha história prévia de TB pulmonar, com importantes achados radiológicos. O diagnóstico foi baseado nos achados clínicos apesar de todas as culturas terem sido negativas. Tratamento empírico com drogas tuberculostáticas foi iniciado e o paciente evoluiu estável. Foi de alta assintomático, mas sem recuperação da função renal. Ele encontra-se em hemodiálise três vezes por semana. A TB é uma causa importante de doença renal e pode levar à perda irreversível da função renal.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Tuberculosis, Urogenital / Kidney Failure, Chronic Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Rev. Inst. Med. Trop. Säo Paulo Journal subject: Tropical Medicine Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Ceará/BR / Hospital Geral de Fortaleza/BR / UDI/BR

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Full text: Available Index: LILACS (Americas) Main subject: Tuberculosis, Urogenital / Kidney Failure, Chronic Type of study: Diagnostic study Limits: Adult / Humans / Male Language: English Journal: Rev. Inst. Med. Trop. Säo Paulo Journal subject: Tropical Medicine Year: 2012 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Ceará/BR / Hospital Geral de Fortaleza/BR / UDI/BR