Clinical Case of Severe Disseminated Extrapulmonary Tuberculosis

Шевченко, С. П.; Kulchavenya, Ekaterina; Kholtobin, D P; Khomyakov, Victor; Brizhatyuk, E.

doi:10.21292/2075-1230-2016-94-10-73-76

TaLD

2016

DOI: 10.21292/2075-1230-2016-94-10-73-76

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Clinical Case of Severe Disseminated Extrapulmonary Tuberculosis

С. П. Шевченко¹,

Ekaterina Kulchavenya²,

D P Kholtobin³

et al.

Abstract: 'Ф ГБУ «Н овосибирский Н И И тубер кулеза» М инздрава Р осси и , г. Н овосибирск 2ГБОУ ВПО «Н овосибирский государственный медицинский университет» М инздрава Р осси и , г. Н овосибирск Представлен клинический случай пациента, поступившего в клинику с запущенной формой генерализованного мочеполового туберкуле за, осложненного терминальной почечной недостаточностью, туберкулеза кишечника. Пациент в течение 10 лет безуспешно лечился по поводу «урогенитальных инфекций», маскирующих мочеполовой туберкулез, перенес… Show more

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A Rare Case of Urethral Tuberculosis

Kholtobin

Kulchavenya

2023

Tuberk. bolezni lëgk.

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Urethral tuberculosis is a rare disease since the advent of highly effective anti-tuberculosis drugs. The article describes an extremely rare clinical observation of a 34-year-old patient with the transition of tuberculous inflammation from the subcutaneous tissue to the wall of the urethra with intact kidneys. Since the first blood discharge from the urethra, the diagnostic process took 3.5 years, all these years, multiple examinations for tuberculosis were carried out and the results were negative, while the disease progressed. The diagnosis was differentiated between acute purulent anterior subcutaneous paraproctitis and festering pararectal cyst. There were repeated openings of the perineal abscess, no bacterial growth was observed, histological tests revealed chronic purulent inflammation. In view of the persistent recurrent course of perineal abscess, tuberculosis was repeatedly suspected. Acid-resistant mycobacteria were found in the discharge from the fistula by fluorescent microscopy: 10-99 in the sample. Tuberculous mycobacteria were not found in the urine by polymerase chain reaction. The patient was diagnosed with A18.4. Tuberculosis of subcutaneous fat (perineum). Mycobacterium tuberculosis (+). The course of disease was complicated by perineal fistula. With the anti-tuberculosis treatment, the fistulous opening healed within a month.

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A Rare Case of Urethral Tuberculosis

Kholtobin

Kulchavenya

2023

Tuberk. bolezni lëgk.

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Surgical treatment of urethral tuberculosis in men – history and present (literature review)

Волков

Зубань

Reshetnikov

et al. 2021

Acta biomedica scientifica

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The literature review provides data on tuberculosis of the urethra in men. This disease is rarely recorded, as a rule, at the stage of formation of the urethral stricture, which can develop many years after the onset of the disease. Urethral tuberculosis is usually secondary to other localizations of extrapulmonary tuberculosis, such as tuberculosis of the prostate, penis, kidney, and bladder, but there are also isolated forms of this disease. The most common symptoms of urethral tuberculosis are the presence of strictures, skin-urethral and recto-prostatic fistulas, and purulent urethritis. Almost always, with this disease, conservative specific therapy was carried out, which in some cases made it possible to completely eliminate the symptoms and ensure the patient’s clinical recovery. Tuberculous urethral strictures are operated on according to generally accepted rules, but there is no single algorithm for the surgical treatment of strictures of this etiology, often limiting itself only to urine diversion or urethral dilation. Of the urethroplasty, the most commonly used end-to-end urethral anastomosis. In our opinion, a promising direction is the use of various grafts for the surgical treatment of this disease.

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Clinical Case of Severe Disseminated Extrapulmonary Tuberculosis

Cited by 2 publications

References 0 publications

A Rare Case of Urethral Tuberculosis

A Rare Case of Urethral Tuberculosis

Surgical treatment of urethral tuberculosis in men – history and present (literature review)

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