An adolescent girl with obstructive uropathy requiring nephro-ureterectomy was subsequently diagnosed with renal tuberculosis: case report


Kaba Ö. , Kara M., Bayramoğlu Z. , Çalışkan E., Çetin B., Karimov E., ...More

PAEDIATRICS AND INTERNATIONAL CHILD HEALTH, vol.41, no.2, pp.154-157, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 41 Issue: 2
  • Publication Date: 2021
  • Doi Number: 10.1080/20469047.2020.1822633
  • Title of Journal : PAEDIATRICS AND INTERNATIONAL CHILD HEALTH
  • Page Numbers: pp.154-157
  • Keywords: Urinary tuberculosis, adolescent, corticosteroid, MANAGEMENT

Abstract

A 15-year-old girl was followed up for 2 years in a district hospital for management of vesicoureteral reflux and, subsequently, hydronephrosis of both kidneys and required bilateral ureteroneocystostomy. Despite surgery, there was continuous progression of the left hydronephrosis. Referral to a tertiary hospital because of continued sterile pyuria prompted investigation for tuberculosis (TB): she was diagnosed with bilateral pulmonary TB and urine culture confirmedMycobacterium tuberculosis. Despite tuberculous chemotherapy and dexamethasone, she required a left nephrectomy. Histology demonstrated necrotising granulomatous pyelonephritis. She remains well with normal function of the right kidney. Despite the rarity, chronic urinary tract disorders should always prompt investigation for tuberculosis.