1/57. New aspects of urinary tuberculosis.In urinary tuberculosis, during recent years, there has been remarkable progress in treatment but some new aspects are reported, which raise problems in diagnosis and therapeutics. There is an increase of silent forms, forms with rapid destructive development, even under treatment, and forms masked by association with other diseases. The percentage of elderly patients has increased, as has the number of cases presenting with advanced lesions with little clinical manifestation. This calls for more careful searching, assessment and survey of any suspected case.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
2/57. "Ankylosing spondylitis" without sacroiliitis in a woman without the HLA B27 antigen.An elderly woman with otherwise typical ankylosing spondylitis for 45 years lacked radiologic evidence of sacroiliitis and the HLA B27 antigen. The illness was complicated by renal tuberculosis requiring a left nephrectomy 23 years after the onset of low back pain, and 20 years after an episode of severe iritis. After the eradication of the tuberculosis by surgery and chemotherapy, she has continued to have symptomatic spondylitis. The case seems to be an exception to the rule that sacroiliitis is a sine qua non for ankylosing spondylitis. women with ankylosing spondylitis tend to have milder disease with an apparently lower frequency of roentgenographic changes in sacroiliac joints.- - - - - - - - - - ranking = 0.4keywords = tuberculosis (Clic here for more details about this article) |
3/57. Case report: percutaneous balloon dilatation and ureteral stenting for tuberculous renal infundibular and ureteral strictures.A 23-year-old woman developed progressive obstructive uropathy due to multiple renal infundibular and ureteral strictures while on drug treatment for renal tuberculosis. communication between isolated upper and mid-pole calyces, and the ureter, was established by percutaneous guidewire manipulation. The strictures were successfully managed using percutaneous balloon catheter dilatation and ureteral stenting without the need for open surgical exploration. kidney function was preserved at one year follow-up.- - - - - - - - - - ranking = 0.2keywords = tuberculosis (Clic here for more details about this article) |
4/57. hypertension due to renal tuberculosis: assessment by renal vein renin sampling.A 36-year-old man with asymptomatic hypertension was shown to have destruction of the right kidney due to renal tuberculosis. The peripheral renin level was normal, but renal vein renin sampling showed predominant renin secretion from the right kidney both in basal samples and after acute stimulation of renin release with intravenous diazoxide. nephrectomy has resulted in marked reduction of blood pressure without treatment one year after operation. The findings support the predictive value of renal vein renin sampling when hypertension is associated with renal parenchymal disease, even when peripheral renin is normal.- - - - - - - - - - ranking = 1keywords = tuberculosis (Clic here for more details about this article) |
5/57. High-output heart failure caused by a huge renal arteriovenous fistula after nephrectomy: report of a case.Postnephrectomy renal arteriovenous fistula (AVF) with an aneurysmal lesion is a rare clinical entity that may cause high-output heart failure. In this report, we describe the case of a 68-year-old man who had undergone nephrectomy for renal tuberculosis 43 years previously, in whom an acquired large renal AVF presenting as an aneurysm caused congestive cardiac failure. We also discuss the hemodynamic, hormonogenic (human arterial natriuretic polypeptide; hANP), and radiographic findings before and after surgery for the AVF. The AVF with an aneurysmal lesion was clearly visualized by three-dimensional-computerized tomographic (CT) scanning, and proximal ligation of the renal artery was followed by an uneventful recovery. This procedure can produce good results when a fistula is too large to allow safe embolization and when excision would be hazardous due to inflammation surrounding the fistula.- - - - - - - - - - ranking = 0.2keywords = tuberculosis (Clic here for more details about this article) |
6/57. Abdominal pregnancy complicated by genital and renal tuberculosts and hemolytic anemia.After a 10-year period of primary infertility, a patient presented with abdominal pregnancy. Known to have had previously treated genital tuberculosis, on admission she was found to have renal tuberculosis and autoimmune hemolytic anemia. After fetal death, laparotomy was performed and the fetus was removed. The patient's anemia responded well to steroid therapy and she was discharged on antituberculous triple therapy. The literature on hemolytic anemia in pregnancy and in association with tuberculosis, as well as on ectopic gestations, was reviewed.- - - - - - - - - - ranking = 0.6keywords = tuberculosis (Clic here for more details about this article) |
7/57. Tuberculosis transmitted through transplantation.Tuberculosis in solid organ transplant recipients is associated with relatively high morbidity and mortality and is often extra-pulmonary. Reactivation of dormant infection is the usual mode of acquisition with donor and nosocomial transmission occurring infrequently. We report two cases of probable donor transmitted extra-pulmonary infection where both isolates of mycobacterium tuberculosis proved to be indistinguishable using hemi-nested inverse PCR of the IS 6110 region.- - - - - - - - - - ranking = 0.2keywords = tuberculosis (Clic here for more details about this article) |
8/57. Cavernotomy in renal tuberculosis. Seven cases. review of the literature.During the period 1957--1973 the author treated 7 cases of renal tuberculosis where cavernotomy was performed. Some views presented in the literature concerning the development and the detrimental effects of renal cavities are discussed. The diagnosis is purely radiological. Because of impaired renal function, drip infusion urography is recommended for such cases. The indication for operation is an isolated focus near the renal surface containing active tuberculosis with presence of tubercle bacilli. Vascular circulation is impaired locally and renal function diminished. This consitutes a latent danger for the host. The present findings are discussed and compared with results from the literature.- - - - - - - - - - ranking = 1.2keywords = tuberculosis (Clic here for more details about this article) |
9/57. Replacement lipomatosis related to renal tuberculosis: imaging findings in one case.Replacement lipomatosis of the kidney in a case of long-standing renal tuberculosis is reported. The radiologic and pathologic findings are described and the differential diagnosis is discussed. A hypothesis is given to explain the association of renal tuberculosis and replacement lipomatosis of the kidney.- - - - - - - - - - ranking = 1.2keywords = tuberculosis (Clic here for more details about this article) |
10/57. Renal tuberculosis mimicking xanthogranulomatous pyelonephritis: ultrasonography, computed tomography and magnetic resonance imaging findings.The incidence of tuberculosis has been increasing in recent years, and its treatment has also become challenging. The diagnosis of renal tuberculosis is often difficult and delayed. Early and correct diagnosis of tuberculosis with different organ system involvement is very important and can be easier with ultrasonography, computed tomography and/or magnetic resonance imaging. Although renal tuberculosis is the result of hematogenous spread more commonly from the lungs, less than 5%, of patients with urinary tract tuberculosis have active pulmonary disease. Renal tuberculosis may show variable radiological findings depending on the stage of the infection. Although an end-stage "autonephrectomized" kidey in tuberculosis is classically defined to be small in size, enlargement may on rare occasions be observed, which is the case in our patient. This form greatly mimics diffuse xanthogronulomatous pyelonephritis. Both diseases show thickening of the perirenal fasciae and spread of inflammation into the adjacent organs. Computed tomography and magnetic resonance imaging may show some specific features to differentiate these two entities.- - - - - - - - - - ranking = 2.2keywords = tuberculosis (Clic here for more details about this article) |
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