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

IF 1.4 4区医学 Q3 PEDIATRICS

Paediatrics and International Child Health Pub Date : 2021-05-01 Epub Date: 2020-09-29 DOI:10.1080/20469047.2020.1822633

Özge Kaba, Manolya Kara, Zuhal Bayramoğlu, Emine Çalışkan, Bilal Çetin, Elnur Karimov, Ünsal Özkuvancı, Yasemin Özlük, Selda Hançerli Torun, Zeynep Nagehan Yürük Yıldırım, Hasan Orhan Ziylan, Ayper Somer

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引用次数: 1

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.

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一位需要肾输尿管切除术的青春期泌尿梗阻性病变女孩随后被诊断为肾结核:病例报告。

一名15岁女孩在一家地区医院随访2年，治疗膀胱输尿管反流，随后出现双肾肾积水，需要进行双侧输尿管膀胱造瘘术。尽管手术，左侧肾积水仍持续恶化。由于持续的无菌脓尿，转诊到三级医院进行结核病调查:她被诊断为双侧肺结核，尿培养证实为结核分枝杆菌。尽管接受了化疗和地塞米松治疗，她还是需要进行左肾切除术。组织学表现为坏死性肉芽肿性肾盂肾炎。她身体状况良好，右肾功能正常。尽管罕见，慢性尿路疾病总是应及时调查结核病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Paediatrics and International Child Health PEDIATRICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Paediatrics and International Child Health is an international forum for all aspects of paediatrics and child health in developing and low-income countries. The international, peer-reviewed papers cover a wide range of diseases in childhood and examine the social and cultural settings in which they occur. Although the main aim is to enable authors in developing and low-income countries to publish internationally, it also accepts relevant papers from industrialised countries. The journal is a key publication for all with an interest in paediatric health in low-resource settings.