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Renal tuberculosis: a case report
Authors:S. TOCCACELI  L. PERSICO STELLA  M. DIANA  A. TACCONE  G. GIULIANI  L. DE PAOLA  M. VALVANO  C. DE PADUA  G. DI BIASIO  C. RANUCCI  E. ORSI  F. LA TORRE
Affiliation:1.Pelvic Floor and Rectum Emergency Surgery, “Policlinico Umberto I” - “Sapienza” University, Roma, Italy;2.Emergency and Short Observation Medicine Unit, “Santo Spirito in Sassia” Hospital, Roma, Italy;3.General Surgery Division, “San Giovanni di Dio” Hospital, Fondi (LT), Italy
Abstract:Tuberculosis or TB (tubercle bacillus) remains a major public health problem in developing countries. Over the last decades extra-pulmonary locations of the disease have become more frequent due to the increased prevalence of acquired immune deficiency syndrome and the increase number of organ transplants. The urogenital localization represents about 27% of all extra-pulmonary localizations of TB and may be due either to a disseminated infection or to a primitive genitourinary localization. The majority of patients, has pyuria, sometimes with hematuria. The diagnosis of urinary tuberculosis is based on the finding of pyuria in the absence of infection by common bacteria. The initial medical treatment includes isoniazide, rifampicin, pyrazinami-de, ethambutol and streptomycin. This disease should be suspected in patients with unexplained urinary tract infections, especially if immunocompromised and/or coming from endemic areas.
Keywords:Renal tuberculosis   Surgery
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