Genitourinary tuberculosis: Difference between revisions

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== Investigations ==
 
== Investigations ==
   
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* Imaging findings are discussed in [[CiteRef::jung2005ge]]
* Imaging findings are discussed in <ref>Jung YY, Kim JK, Cho KS. Genitourinary tuberculosis: comprehensive cross-sectional imaging. AJR Am J Roentgenol. 2005 Jan;184(1):143-50. doi: [https://doi.org/10.2214/ajr.184.1.01840143 10.2214/ajr.184.1.01840143]. PMID: 15615965.</ref>
 
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** Can mimic routine pyelonephritis
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** Calcifications and strictures throughout the urinary system are common
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** Rarely, can mimic a solid tumour
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== Diagnosis ==
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* Must be an early morning midstream sample
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** Send the entire specimen
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** Keep specimen refrigerated until transport
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* May need multiple specimens over multiple days
   
 
[[Category:Tuberculosis]]
 
[[Category:Tuberculosis]]

Latest revision as of 14:11, 19 September 2024

Background

  • The most common manifestation of extrapulmonary tuberculosis after lymphadenopathy

Clinical Manifestations

  • Can present as sterile pyuria or hematuria
  • Can affect kidneys, ureters, bladder, prostate, and genitals
  • Kidney involvement can cause renal calyceal destruction, calyceal obstruction, or hydronephrosis

Investigations

  • Imaging findings are discussed in 1
    • Can mimic routine pyelonephritis
    • Calcifications and strictures throughout the urinary system are common
    • Rarely, can mimic a solid tumour

Diagnosis

  • Must be an early morning midstream sample
    • Send the entire specimen
    • Keep specimen refrigerated until transport
  • May need multiple specimens over multiple days

References

  1. ^  Yoon Young Jung, Jeong Kon Kim, Kyoung-Sik Cho. Genitourinary Tuberculosis: Comprehensive Cross-Sectional Imaging. American Journal of Roentgenology. 2005;184(1):143-150. doi:10.2214/ajr.184.1.01840143.