Genitourinary tuberculosis: Difference between revisions
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* Can affect kidneys, ureters, bladder, prostate, and genitals |
* Can affect kidneys, ureters, bladder, prostate, and genitals |
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* Kidney involvement can cause renal calyceal destruction, calyceal obstruction, or hydronephrosis |
* Kidney involvement can cause renal calyceal destruction, calyceal obstruction, or hydronephrosis |
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| + | == Investigations == |
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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 |
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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 |
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[[Category:Tuberculosis]] |
[[Category:Tuberculosis]] |
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Latest revision as of 11:51, 6 March 2023
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
- ↑ Jung YY, Kim JK, Cho KS. Genitourinary tuberculosis: comprehensive cross-sectional imaging. AJR Am J Roentgenol. 2005 Jan;184(1):143-50. doi: 10.2214/ajr.184.1.01840143. PMID: 15615965.
