Genito-Urinary Tuberculosis – A Great Mimicker and Its Atypical Manifestations: An Interesting Case Series

Abstract

Tuberculosis continues to be a major health problem in the developing world. Renal tuberculosis is the most common site of extra -pulmonary tuberculosis. It comprises 20% of all extra pulmonary tuberculosis. The accurate incidence and prevalence of Genito Urinary Tuberculosis (GUTB) is difficult to be figured out because a very large varieties of atypical presentations. It is often called as a "Great Mimicker" because of the variety of other conditions that it might mimic. A vast majority of patients remain asymptomatic and present in late stages as the disease is not thought of in these asymptomatic patients. Moreover the urine can become sterilized relatively rapidly after the initiation of chemotherapy, further adding on to the diagnostic difficulties.In this manuscript, we report a series of GUTB cases that presented in an atypical manner, causing diagnostic and management dilemma. The purpose of this manuscript is to highlight the variety of atypical manifestations of GUTB and also to stress on the need for a high index of clinical suspicion in identifying such cases at an earlier stage in order to prevent the disease from progressing to non-salvageable state.