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An adolescent girl with obstructive uropathy requiring nephro-ureterectomy was subsequently diagnosed with renal tuberculosis: case report
Paediatrics and International Child Health ( IF 1.8 ) Pub Date : 2020-09-29 , DOI: 10.1080/20469047.2020.1822633
Özge Kaba 1 , Manolya Kara 1 , Zuhal Bayramoğlu 2 , Emine Çalışkan 2 , Bilal Çetin 3 , Elnur Karimov 1 , Ünsal Özkuvancı 3 , Yasemin Özlük 4 , Selda Hançerli Torun 1 , Zeynep Nagehan Yürük Yıldırım 5 , Hasan Orhan Ziylan 3 , Ayper Somer 1, 6
Affiliation  

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 confirmed Mycobacterium 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.



中文翻译:

一名患有阻塞性尿路病需要肾输尿管切除术的少女随后被诊断出患有肾结核:病例报告

摘要

一名 15 岁女孩在地区医院接受了为期 2 年的随访,以治疗膀胱输尿管反流和随后的双肾肾积水,并需要进行双侧输尿管膀胱造口术。尽管进行了手术,但左侧肾积水仍持续进展。由于持续的无菌脓尿转诊到三级医院,提示她进行了结核病 (TB) 的检查:她被诊断为双侧肺结核,尿培养证实为结核分枝杆菌。尽管接受了结核病化疗和地塞米松,她仍需要进行左肾切除术。组织学显示坏死性肉芽肿性肾盂肾炎。她的右肾功能正常。尽管罕见,慢性泌尿道疾病应始终及时调查结核病。

更新日期:2020-09-29
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