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Case Reports
. 2012 Dec 17:2012:bcr2012007553.
doi: 10.1136/bcr-2012-007553.

Complicated urinary infection and extrapulmonary tuberculosis

Marcelo Rodrigues Bacci  1 , José Jorge Namura, Andrea Thaumaturgo Lera
Affiliations
Case Reports

Complicated urinary infection and extrapulmonary tuberculosis

Marcelo Rodrigues Bacci et al. BMJ Case Rep. .

Abstract

Approximately 30% of the world population presents with tuberculosis. In developed countries, genitourinary manifestation is responsible for over 40% of extrapulmonary cases. Genitourinary tuberculosis is often diagnosed in the later stage due to the fact that the symptoms are non-specific and technical difficulties to isolate the tubercle bacillus through bacilloscopy or culture in specific medium are many. We present a case of a 47-year-old African-American woman with relapsing urinary infection and sterile pyuria. After a 4 four-year evolution, the patient developed functional exclusion of the right kidney as a consequence of chronic pyelonephritis. The investigation result for alcohol-acid bacillus resistant in urine was positive along with the culture for Mycobacterium tuberculosis.

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Figures

Figure 1
Figure 1
Right kidney ureteric and pielic dilation.
Figure 2
Figure 2
Right kidney DMSA-Tc 99m reduced capitation.
See this image and copyright information in PMC

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