An adolescent girl with obstructive uropathy requiring nephro-ureterectomy was subsequently diagnosed with renal tuberculosis: case report. (3rd April 2021)

• Record Type: Journal Article
• Authors: Kaba, Özge; Kara, Manolya; Bayramoğlu, Zuhal; Çalışkan, Emine; Çetin, Bilal; Karimov, Elnur; Özkuvancı, Ünsal; Özlük, Yasemin; Hançerli Torun, Selda; Yürük Yıldırım, Zeynep Nagehan; Ziylan, Hasan Orhan; Somer, Ayper
• Is Part Of: Paediatrics and international child health. Volume 41:Number 2(2021)
• Page Start: 154
• Page End: 157
• Publication Date: 2021-04-03
• Subjects: Urinary tuberculosis -- adolescent -- corticosteroid; Pediatrics -- Developing countries -- Periodicals; Children -- Health and hygiene -- Developing countries -- Periodicals; Children -- Diseases -- Developing countries -- Periodicals; 618.920009172405
• DOI: 10.1080/20469047.2020.1822633
• Languages: English
• ISSNs: 2046-9047

Abstract

ABSTRACT: A 15-year-old girl was followed up for 2 years in a district hospital for management of vesicoureteral reflux and, subsequently, hydronephrosis of both kidneys and required bilateral ureteroneocystostomy. Despite surgery, there was continuous progression of the left hydronephrosis. Referral to a tertiary hospital because of continued sterile pyuria prompted investigation for tuberculosis (TB): she was diagnosed with bilateral pulmonary TB and urine culture confirmed Mycobacterium tuberculosis . Despite tuberculous chemotherapy and dexamethasone, she required a left nephrectomy. Histology demonstrated necrotising granulomatous pyelonephritis. She remains well with normal function of the right kidney. Despite the rarity, chronic urinary tract disorders should always prompt investigation for tuberculosis.