Detection of Tubercle Bacilli in Urine and in Removed Kidney Lesion in Renal Tuberculosis / 대한비뇨기과학회지

ABSTRACT

Fifty-four cases of renal tuberculosis who had anti-tuberculous treatment were studied for effect of anti-tuberculous agents on tubercle bacilli in urine and in kidney lesion. Urinary examinations were performed for tubercle bacilli every week by means of smear and culture and caseous substance from the cavity of kidney lesion was also smeared for the bacilli. The patients were divided into five groups as follows Group 1 Treated with anti-tuberculous agents for less than one month, 26 cases.Group 2 Treated with anti-tuberculous agents for one to three months, 15 cases.Group 3 Treated with the agents for three to six months, 6 cases.Group 4 Treated with the agents for six to twelve months, 5 cases.Group 5 Treated with the agents for longer than twelve months, 2 cases.Thirty-four instances (62.9%) of 51 cases revealed positive tubercle bacilli in urine and in the kidney lesion and 13 instances(24.0%) revealed negative bacilli in urine but positive in the kidney lesion while 6 instances(11.1%) revealed negative both in the urine and in the kidney lesion. Three instances of 7 cases treated for longer than six months showed positive smear for the bacilli in the kidney lesion.