Genitourinary tuberculosis: Difference between revisions

From IDWiki
(Created page with "== Background == * The most common manifestation of extrapulmonary tuberculosis after lymphadenopathy == Clinical Manifestations == * Can present as sterile pyuria or h...")
 
mNo edit summary
 
(3 intermediate revisions by the same user not shown)
Line 8: Line 8:
* Can affect kidneys, ureters, bladder, prostate, and genitals
* Can affect kidneys, ureters, bladder, prostate, and genitals
* Kidney involvement can cause renal calyceal destruction, calyceal obstruction, or hydronephrosis
* Kidney involvement can cause renal calyceal destruction, calyceal obstruction, or hydronephrosis

== Investigations ==

* Imaging findings are discussed in [[CiteRef::jung2005ge]]
** 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


[[Category:Tuberculosis]]
[[Category:Tuberculosis]]

Latest revision as of 18:11, 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.