Unusual presentation of tuberculosis in the form of a bilateral renal pseudotumor

Genitourinary tuberculosis (TB) is a common form of extrapulmonary tuberculosis. The kidneys are usually affected by hematogenous seeding at the time of primary pulmonary infection. Genitourinary TB has non-specific clinical presentations and variable radiographic appearances. We are reporting a cas...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2016, Vol.27 (1), p.61-63
Main Authors: Singh, Sanjeet Kumar, Kumar, Anant, Singh, Anjana
Format: Article
Language:English
Subjects:
Antitubercular Agents - therapeutic use
Biopsy
Care and treatment
Case studies
Diagnosis
Diagnosis, Differential
Diseases
Female
Genitourinary organs
Granuloma - diagnosis
Humans
Kidney - microbiology
Kidney - pathology
Kidney diseases
Kidneys
Lymph nodes
Middle Aged
Mycobacterium tuberculosis - isolation & purification
Tomography, X-Ray Computed
Tuberculosis
Tuberculosis, Renal - diagnosis
Tuberculosis, Renal - drug therapy
Tumors
الأمراض
الأورام
التشخيص
الكلى
دراسات الحالة
مرض السل
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Summary:Genitourinary tuberculosis (TB) is a common form of extrapulmonary tuberculosis. The kidneys are usually affected by hematogenous seeding at the time of primary pulmonary infection. Genitourinary TB has non-specific clinical presentations and variable radiographic appearances. We are reporting a case of genitourinary TB presenting as bilateral renal mass. The patient underwent computed tomography-guided kidney biopsy that showed a granulomatous lesion. Then, the patient was put on anti-tuberculous treatment with a good response. We feel that patients having multiple bilateral kidney lesions should undergo biopsy to determine the nature of the lesion before any surgical intervention.
ISSN:1319-2442
2320-3838
DOI:10.4103/1319-2442.174201