RESUMO
BACKGROUND: Tuberculosis of the uro-genital tract is uncommon in both sexes before puberty. CASE REPORTS: Case 1. A 10 year-old boy suffered from chronic cystitis. Urine examination showed pyuria without bacteria and absence of mycobacterium tuberculosis on direct smears and culture. Intravenous pyelography showed left ureterohydronephrosis and a non functioning right kidney with calcifications. A right nephrectomy was performed which showed caseous lesions with granulomas. A triple specific therapy failed to completely cure the vesicoureteral lesions. Case 2. A 9 year-old boy was admitted for the suspicion of appendicitis. Renal ultrasonography showed features of abscesses located to the right kidney and the liver. Laparotomy showed their tuberculous origin which was confirmed by histological examination and positive search for Mycobacterium tuberculosis in urine. The course was favorable under specific treatment. CONCLUSIONS: Diagnosis of tuberculosis of the uro-genital tract may be difficult leading to a delayed treatment and sequellae.
Assuntos
Tuberculose dos Genitais Masculinos/diagnóstico , Tuberculose Renal/diagnóstico , Criança , Cistite/etiologia , Humanos , Masculino , Prognóstico , Tuberculose dos Genitais Masculinos/complicações , Tuberculose dos Genitais Masculinos/terapia , Tuberculose Renal/complicações , Tuberculose Renal/terapiaRESUMO
Early congenital syphilis is still common in Morocco, where it causes a large number of stillbirths and neonatal deaths. Over the last 16 years, we managed 86 cases of congenital syphilis in infants aged one day to four months. Multiple organs were affected in half the patients. Skeletal lesions were found in 65% of patients, Wimberger's sign in nearly 20% (17/86), and pseudoparalysis in 23%. The significance of the skeletal lesions often seen in congenital syphilis in Morocco is emphasized.
