Urogenital tuberculosis in a patient with end-stage renal disease

Tuberculosis is one of the most common infections worldwide with particularly high incidence rates in countries with unfavorable socioeconomic conditions and among persons with impaired immune systems. While most patients with this disease will present with pulmonary tuberculosis, immunocompromised...

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Bibliographic Details
Published in:Revista da Sociedade Brasileira de Medicina Tropical 2020-01, Vol.53, p.e20190284
Main Authors: Almeida, André Patrício Ferreira de, Silva, Dina Fabrício da, Petruccelli, Karla Cristina Silva, Matos, Juliana da Costa, Moreira, Rodrigo Xavier, Cordeiro-Santos, Marcelo
Format: Article
Language:English
Subjects:
Adult
Antitubercular Agents - therapeutic use
Case Report
Chronic Kidney Disease
Humans
Immunocompromised Host
Kidney Failure, Chronic - complications
Male
TROPICAL MEDICINE
Tuberculosis
Tuberculosis, Urogenital - complications
Tuberculosis, Urogenital - diagnosis
Tuberculosis, Urogenital - drug therapy
Urogenital
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Summary:Tuberculosis is one of the most common infections worldwide with particularly high incidence rates in countries with unfavorable socioeconomic conditions and among persons with impaired immune systems. While most patients with this disease will present with pulmonary tuberculosis, immunocompromised individuals also commonly present with extrapulmonary manifestations. We report the case of a 28-year-old male patient with end-stage renal disease who presented with long-standing systemic symptoms and genitourinary manifestations, who was diagnosed with urogenital tuberculosis both by clinical and microbiologic criteria. Clinicians should always suspect tuberculosis in patients with chronic symptoms, especially in those with immunosuppression.
ISSN:0037-8682
1678-9849
1678-9849
DOI:10.1590/0037-8682-0284-2019