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. 2008 Dec 10;1(1):383.
doi: 10.1186/1757-1626-1-383.

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Bashar Salem  1
Affiliations

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Bashar Salem. Cases J. .

Abstract

Background: Miliary tuberculosis occurs as a result of hematogenous dissemination of Mycobacerium tuberculosis. This can occur due to progressive primary infection, reactivation of latent focus with subsequent spread, or rarely via iatrogenic origin.

Case presentation: This is a case of 21 year-old woman presented with hydronephrosis and hematuria due to unrecognized renal tuberculosis. She underwent bilateral ureteral stent placement which lead to dissemination of the Mycobateria through the blood causing pulmonary tuberculosis and multiple tuberculous abscesses in the paraspinous muscles, pleural space and skin.

Conclusion: Disseminated tuberculosis due to Mycobacteremia after surgical intervention is a rare complication. Mycobacteria should be considered among other more common microorganisms that can cause post operative bacteremia.

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Figures

Figure 1
Figure 1
Computerized tomography of the abdomen showing 3.8 cm abscess in the anterior cortex of the right kidney.
Figure 2
Figure 2
Computerized tomography of the pelvis showing rim enhancing abscess in the right paraspinous muscles with early extension into the vertebra.
Figure 3
Figure 3
Pleural – based small abscess with low density center in the lateral aspect of left lower lobe of the lung.
Figure 4
Figure 4
1.8 cm lesion attached to the right pericardium.
See this image and copyright information in PMC

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