Genitourinary tuberculosis: Difference between revisions
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== Investigations == |
== Investigations == |
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* Imaging findings are discussed in [[CiteRef::jung2005ge]] |
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* 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 |
** Can mimic routine pyelonephritis |
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** Calcifications and strictures throughout the urinary system are common |
** Calcifications and strictures throughout the urinary system are common |
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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
- ^ 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.
