La tuberculose urogénitale. Á propos de 109 cas

Bennani, S; Fekak, H; Hafiani, M; Debbagh, Adil; Moussaoui, A.; Mrini, M. El; Benjelloun, S

doi:10.1016/s0399-077x(99)80004-3

Cited by 10 publications

(8 citation statements)

References 13 publications

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“…Bennani et al [9], studying 109 cases of renal tuberculosis, have found bacilli in the urine of 41 patients (38%). This is comprehensible because bacilli are shed into the urine intermittently, resulting in only 30% to 40% of single urine specimens to be positive in patients with active disease [7].…”

Section: Discussionmentioning

confidence: 99%

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End-stage renal disease due to delayed diagnosis of renal tuberculosis: a fatal case report

Daher¹,

Júnior²,

Damasceno³

et al. 2007

Braz J Infect Dis

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Renal TB is difficult to diagnose, because many patients present themselves with lower urinary symptoms which are typical of bacterial cystitis. We report a case of a young woman with renal TB and ESRD. She was admitted with complaints of adynamia, anorexia, fever, weight loss, dysuria and generalized edema for 10 months. At physical examination she was febrile (39ºC), and her abdomen had increased volume and was painful at palpation. Laboratorial tests showed serum urea=220mg/dL, creatinine=6.6mg/dL, hemoglobin=7.9g/dL, hematocrit=24.3%, leukocytes=33,600/mm 3 and platelets=664,000/mm 3 . Urinalysis showed an acid urine (pH=5.0), leukocyturia (2+/4+) and mild proteinuria (1+/4+). She was also oliguric (urinary volume <400mL/day). Abdominal echography showed thick and contracted bladder walls and heterogeneous liquid collection in the left pelvic region. Two laparotomies were performed, in which abscess in pelvic region was found. Anti-peritoneal tuberculosis treatment with rifampin, isoniazid and pyrazinamide was started. During the follow-up, the urine culture was found to be positive for M. tuberculosis. Six months later the patient had complaints of abdominal pain and dysuria. New laboratorial tests showed serum urea=187mg/dL, creatinine=8.0mg/dL, potassium=6.5mEq/L. Hemodialysis was then started. The CT scan showed signs of chronic nephropathy, dilated calyces and thinning of renal cortex in both kidneys and severe dilation of ureter. The patient developed neurologic symptoms, suggesting tuberculous meningoencephalitis, and died despite of support measures adopted. The patient had ESRD due to secondary uropathy to prolonged tuberculosis of urinary tract that was caused by delayed clinical and laboratorial diagnosis, and probably also due to inadequate antituberculous drugs administration.

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Section: Discussionmentioning

confidence: 99%

“…Intravenous urography can also be used in the investigation of renal tuberculosis, which can show characteristically signs, mainly in the ureter or the pielocalycial region [8,9]. Erosion of the tips of the calyces, blunting of the calyces or overt papillary necrosis, and parenchymal scarring and calcification can be seen.…”

Section: Discussionmentioning

confidence: 99%

End-stage renal disease due to delayed diagnosis of renal tuberculosis: a fatal case report

Daher¹,

Júnior²,

Damasceno³

et al. 2007

Braz J Infect Dis

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“…Au Maroc, malgré une prévention obligatoire par le BCG et une chimiothérapie antituberculeuse remarquablement efficace, la tuberculose génitale demeure une affection fréquente et grave ; ainsi, elle occupe la quatrième localisation extrarespiratoire après celles ganglionnaire, digestive et ostéoarticulaire [8]. Dans les pays industrialisés, on s'attend à une réapparition des cas de tuberculose géni-tale, secondaire à l'augmentation de l'incidence de la séro-positivité VIH [5].…”

Section: Discussionunclassified

“…Le traitement médicochirurgical des stérilités tubaires d'origine tuberculeuse, fréquemment associées, reste recommandé par la plupart des auteurs [4][5][6][7]. La place de la corticothérapie est très discutée lors d'une atteinte génitale haute chez des patientes en période d'activité génitale [6,8].…”

Section: Discussionunclassified

Tuberculose vulvaire: à propos d'un cas rare

Amhager

Bouguern

Jayi

et al. 2007

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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“…The diagnosis of renal tuberculosis is difficult, because it is hard to identify the organisms in the urine. BENNANI et al 3 , studying 109 cases of renal tuberculosis, have found bacilli in the urine of 41 patients (38%). This is comprehensible because bacilli are shed into the urine intermittently, resulting in only 30 to 40% of single urine specimens to be positive in patients with active disease 23 .…”

Section: Discussionmentioning

confidence: 99%

Erythema induratum of Bazin and renal tuberculosis: report of an association

Daher

Júnior

Pinheiro

et al. 2004

Rev. Inst. Med. trop. S. Paulo

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Erythema induratum of Bazin is a disease that usually affects women, in whom erythematous subcutaneous nodules and plaques appear on the posterior part of the lower extremities, some of which ulcerate. In many countries, tuberculosis is still the main etiologic factor. We report a case of a 40-year-old woman who presented a course of protracted and recurrent episodes over five years of cutaneous lesions on her legs. These tend to involute, but new crops appear at irregular intervals. It was painful, erythematous-violaceous nodules, some of which drained a reddish secretion. The histopathologic features of the lesions demonstrated inflammatory infiltration, with predominance of neutrophils in dermis and hypodermis, necrotizing vasculitis in the arterioles and septal fibrosis. There was no granuloma. The Ziehl-Neelsen stain did not revealed acid-fast bacilli, and the culture of biopsy specimen was negative. The tuberculin skin test was strongly positive (17 mm). The chest X-ray was normal. Few months later she presented adynamia and urinary complaints, such as polacyuria and dysuria. It has been done an urynalysis, which demonstrated acid pH urine, sterile pyuria and microscopic hematuria. It was then raised the diagnostic hypothesis of renal tuberculosis. The urine culture for M. tuberculosis was positive in two out of ten samples. The treatment was instituted with rifampin, isoniazid and pyrazinamide, with complete regression. This case illustrates a clear association between erythema induratum and renal tuberculosis, demonstrated by the remission of the cutaneous lesions after the treatment of the renal tuberculosis.

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La tuberculose urogénitale. Á propos de 109 cas

Cited by 10 publications

References 13 publications

End-stage renal disease due to delayed diagnosis of renal tuberculosis: a fatal case report

End-stage renal disease due to delayed diagnosis of renal tuberculosis: a fatal case report

Tuberculose vulvaire: à propos d'un cas rare

Erythema induratum of Bazin and renal tuberculosis: report of an association

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