Renal tuberculosis in infancy

Dhua, AK; Borkar, Nitin Kumar; Ghosh, Vidya; Sk, Aggarwal

doi:10.4103/0971-9261.78136

Cited by 12 publications

(12 citation statements)

References 7 publications

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“…3,6 This form of TB represents less than 5% of paediatric extrapulmonary cases worldwide and is very infrequently reported in the literature. 12,13 Chattopadhyay et al observed only nine cases of paediatric genitourinary TB over a span of seven years among patients aged 5-12 years old.…”

Section: Discussionmentioning

confidence: 99%

“…13 Another report described miliary TB with focal had been delivered at full term at home and was not immunised. She had no prior significant illnesses and her developmental history was normal.…”

Section: Discussionmentioning

confidence: 99%

“…17 Similarly to the present case, Dhua et al noted a well-defined hypodense renal mass in a case of renal TB. 13 Kumar et al reported a pseudotumoural manifestation of genitourinary TB in a 34-year-old woman, which was initially suspected to be a renal cell carcinoma. 7 A solid tubercular large mass mimicking a tumour in a horseshoe kidney has also been described in the literature.…”

Section: Avradip Santra Falguni Mandi and Abhishek Bandyopadhyaymentioning

confidence: 99%

“…15 Commonly, patients with renal TB present with dysuria, haematuria, sterile pyuria, flank pain, recurrent urinary tract infections and constitutional symptoms. 6,13 However, the radiographic appearance of the condition is variable and depends on the stage of infection. 16 An enhancing renal mass is a rare presentation; in such cases, renal cell carcinomas, renal metastasis, lymphomas or abscesses are usually considered in the differential diagnosis.…”

Section: Avradip Santra Falguni Mandi and Abhishek Bandyopadhyaymentioning

confidence: 99%

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Renal Tuberculosis Presenting as a Mass Lesion in a Two-year-old Girl: Report of a rare case

Santra¹,

Mandi²,

Bandyopadhyay³

2016

SQUMJ

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A ccording to the World Health Organization, the annual tuberculosis (TB) burden in India was 2.2 million in 2012; this figure constitutes one quarter of global TB cases per year.1 Genitourinary TB is a common form of extrapulmonary TB, accounting for 27% (range: 14-41%) of all cases of extrapulmonary TB in developed countries.2 Usually, genitourinary TB is a complication in 3-4% of pulmonary TB cases.3 Active genitourinary TB generally occurs between five and 15 years after a primary pulmonary infection with Mycobacterium tuberculosis. 4 Despite its status as the most common form of genitourinary TB, renal TB is very rare in the paediatric population. 5Genitourinary TB mostly presents with irritative voiding symptoms, haematuria and flank pain. Presentation as a mass lesion is extremely rare and few cases have been published in the literature to date. [7][8][9][10] This report describes a two-year-old child who presented with a renal mass and was diagnosed with renal TB via a post-nephroureterectomy histopathological examination. Case ReportA two-year-old girl presented to a private health clinic in Kolkata, India, with non-specific abdominal pain of three months' duration. As she did not improve with symptomatic management and anthelmintic therapy, she was referred to the Nil Ratan Sircar Medical College, Kolkata, India, in June 2014 for further evaluation. There was no history of fever, vomiting, altered bowel habits, abdominal distension or changes in urinary frequency or colour over the preceding three months. In addition, no appetite or weight loss had been observed by the parents. The child Genitourinary tuberculosis usually occurs in young adults and the middle-aged and is very uncommon in the paediatric population. It generally presents with haematuria, pyuria, irritative voiding symptoms and flank pain; presentation as a renal mass is highly unusual. We report a two-year-old girl who was referred to the Nil Ratan Sircar Medical College, Kolkata, India, in June 2014 with abdominal pain. Subsequent radiological investigations revealed a left renal hypoechoic mass lesion. A left nephroureterectomy was performed on suspicion of a Wilms' tumour. Histopathology indicated an epithelioid granuloma with lymphocytic infiltration, suggestive of a tubercular aetiology. A Mantoux tuberculin skin test was positive; however, there was no evidence of tuberculosis detected elsewhere in the body and the source of the infection could not be identified. A diagnosis of renal tuberculosis was made and the child was treated with antitubercular drugs. The patient was asymptomatic at a six-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Avradip Santra Falguni Mandi and Abhishek Bandyopadhyaymentioning

confidence: 99%

Section: Avradip Santra Falguni Mandi and Abhishek Bandyopadhyaymentioning

confidence: 99%

See 2 more Smart Citations

Renal Tuberculosis Presenting as a Mass Lesion in a Two-year-old Girl: Report of a rare case

Santra¹,

Mandi²,

Bandyopadhyay³

2016

SQUMJ

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show abstract

“…Usually the disease has a chronic or asymptomatic course. When symptomatic, patients with renal TB present with dysuria, hematuria, sterile pyuria, flank pain, recurrent urinary tract infections and constitutional symptoms [4,10]. Usually patients present pyuria with negative urine culture [15].…”

Section: Introductionmentioning

confidence: 99%

Incidental diagnosis of renal tuberculosis in an adolescent submitted to videolaparoscopic nefrectomy

Antunes¹,

Talini²,

Carvalho³

et al. 2016

PUCR

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Presentation, management and outcomes of pediatric urogenital tuberculosis: 20 years’ experience from a tertiary center

Shekar

Patel

Dumra

et al. 2021

Journal of Pediatric Urology

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Renal tuberculosis in infancy

Abstract: We report a case of congenital renal tuberculosis in a 34-day-old child presenting as severe hematuria. Adequate antitubercular treatment may provide protection to fetus in subsequent pregnancies.

Cited by 12 publications

References 7 publications

Renal Tuberculosis Presenting as a Mass Lesion in a Two-year-old Girl: Report of a rare case

Renal Tuberculosis Presenting as a Mass Lesion in a Two-year-old Girl: Report of a rare case

Incidental diagnosis of renal tuberculosis in an adolescent submitted to videolaparoscopic nefrectomy

Presentation, management and outcomes of pediatric urogenital tuberculosis: 20 years’ experience from a tertiary center

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