Review of genitourinary tuberculosis with focus on end-stage renal disease
Autor(a) principal: | |
---|---|
Data de Publicação: | 2012 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/31449 |
Resumo: | 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. |
id |
IMT-1_c51a24d9b225830410f5f4f53d06b7fc |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/31449 |
network_acronym_str |
IMT-1 |
network_name_str |
Revista do Instituto de Medicina Tropical de São Paulo |
repository_id_str |
|
spelling |
Review of genitourinary tuberculosis with focus on end-stage renal disease Revisão acerca da tuberculose genitourinária com foco na insuficiência renal crônica terminal Renal tuberculosisTuberculosisObstructive uropathyExtra-pulmonary tuberculosisEnd-stage kidney disease 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. 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. Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2012-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rimtsp/article/view/31449Revista do Instituto de Medicina Tropical de São Paulo; Vol. 54 No. 1 (2012); 57-60 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 54 Núm. 1 (2012); 57-60 Revista do Instituto de Medicina Tropical de São Paulo; v. 54 n. 1 (2012); 57-60 1678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/31449/33334Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessLima, Neiberg A.Vasconcelos, Carol C.Filgueira, Pedro Henrique O.Kretzmann, MeissaSindeaux, Ticiano A. S.Feitosa Neto, BeniSilva Junior, Geraldo B.Daher, Elizabeth F.2012-07-07T19:44:58Zoai:revistas.usp.br:article/31449Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:07.384895Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Review of genitourinary tuberculosis with focus on end-stage renal disease Revisão acerca da tuberculose genitourinária com foco na insuficiência renal crônica terminal |
title |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
spellingShingle |
Review of genitourinary tuberculosis with focus on end-stage renal disease Lima, Neiberg A. Renal tuberculosis Tuberculosis Obstructive uropathy Extra-pulmonary tuberculosis End-stage kidney disease |
title_short |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
title_full |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
title_fullStr |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
title_full_unstemmed |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
title_sort |
Review of genitourinary tuberculosis with focus on end-stage renal disease |
author |
Lima, Neiberg A. |
author_facet |
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. |
author_role |
author |
author2 |
Vasconcelos, Carol C. Filgueira, Pedro Henrique O. Kretzmann, Meissa Sindeaux, Ticiano A. S. Feitosa Neto, Beni Silva Junior, Geraldo B. Daher, Elizabeth F. |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
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. |
dc.subject.por.fl_str_mv |
Renal tuberculosis Tuberculosis Obstructive uropathy Extra-pulmonary tuberculosis End-stage kidney disease |
topic |
Renal tuberculosis Tuberculosis Obstructive uropathy Extra-pulmonary tuberculosis End-stage kidney disease |
description |
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. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/31449 |
url |
https://www.revistas.usp.br/rimtsp/article/view/31449 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/31449/33334 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 54 No. 1 (2012); 57-60 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 54 Núm. 1 (2012); 57-60 Revista do Instituto de Medicina Tropical de São Paulo; v. 54 n. 1 (2012); 57-60 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
repository.mail.fl_str_mv |
||revimtsp@usp.br |
_version_ |
1798951648428556288 |