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Tubercle bacilli in the midst of uremia a case report / Ramil Y. Macapagal.

By: Language: English Publication details: Fairview, Quezon City Department of Medicine, FEU-NRMF, 2011Description: illustrations, photos; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • MED20110011
Summary: ABSTRACT: Renal Tuberculosis is a form of non-pulmonary tuberculosis, One-third of patients may concomitantly have pulmonary disease and different local signs and symptoms may predominate such as urinary frequency, dysuria, nocturia, hematuria, and flank or abdominal pain. Microbiologic diagnosis of Renal Tuberculosis is usually made by isolation of the causative organism from urine or biopsy material. Acid-fast bacilli may be seen on microscopy of centrifuged urine. Treatment considerations for genitourinary tuberculosis include standard chemotherapy, surgical and endoscopic procedures. This is a case of J.N., 34 years old, male, no history of Pulmonary Tuberculosis with 2 history of Urinary Tract Infections and 15 kilograms weight loss, who presented urinary frequency, nocturia, polydipsia, night sweats and vomiting Initial impression upon admission was Urinary Tract Infection, Pulmonary Tuberculosis III and Electrolyte Imbalance. During his hospital stay, azotemia and urenic symptoms were noted such as abdominal pain, vomiting and seizures. Diagnostics done were Whole Abdominal utrasound which showed bilaterally enlarged kidneys with parenchymal disease with irregular hypoechoic lessions which may represent cavities; consider inflammatory conditions such as tuberculosis. Urine Acid Fast Bacilli revealed+3 results. He was diagnosed with Chronic Kidney Disease Stage 5 secondary to Renal Tuberculosis with Uremic Encephalopathy, treated with standard chemotherapy and underwent hemodialysis.
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Research Far Eastern University - Nicanor Reyes Medical Foundation Research MED20110011 (Browse shelf(Opens below)) Available R000180

Includes appendices and bibliographical references.

ABSTRACT: Renal Tuberculosis is a form of non-pulmonary tuberculosis, One-third of patients may concomitantly have pulmonary disease and different local signs and symptoms may predominate such as urinary frequency, dysuria, nocturia, hematuria, and flank or abdominal pain. Microbiologic diagnosis of Renal Tuberculosis is usually made by isolation of the causative organism from urine or biopsy material. Acid-fast bacilli may be seen on microscopy of centrifuged urine. Treatment considerations for genitourinary tuberculosis include standard chemotherapy, surgical and endoscopic procedures. This is a case of J.N., 34 years old, male, no history of Pulmonary Tuberculosis with 2 history of Urinary Tract Infections and 15 kilograms weight loss, who presented urinary frequency, nocturia, polydipsia, night sweats and vomiting Initial impression upon admission was Urinary Tract Infection, Pulmonary Tuberculosis III and Electrolyte Imbalance. During his hospital stay, azotemia and urenic symptoms were noted such as abdominal pain, vomiting and seizures. Diagnostics done were Whole Abdominal utrasound which showed bilaterally enlarged kidneys with parenchymal disease with irregular hypoechoic lessions which may represent cavities; consider inflammatory conditions such as tuberculosis. Urine Acid Fast Bacilli revealed+3 results. He was diagnosed with Chronic Kidney Disease Stage 5 secondary to Renal Tuberculosis with Uremic Encephalopathy, treated with standard chemotherapy and underwent hemodialysis.

Research - Department of Medicine

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