Micobacteriosis genitourinaria: estudio retrospectivo de 45 casos en un hospital general

Navarro-Vilasaró, Marta; Font, Bernat; Sala, Montserrat; Prera, A.; Malet, Antoni; Mariscal, Dolors; Segura, Ferrán

doi:10.1157/13128269

Cited by 15 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Genitourinary TB is a relative common form of extrapulmonary TB,5 often underdiagnosed because of its variable and insidious course. A high level of suspicion is important to avoid a delayed diagnosis which can result in organ dysfunction, irreversible sequelae and death 6 7…”

Section: Discussionmentioning

confidence: 99%

Tetraparesia: an unusual presentation of disseminated tuberculosis

Quaresma¹,

Jesus

2017

BMJ Case Reports

View full text Add to dashboard Cite

A 48-year-old man with a 4 months history of asthenia, anorexia, 10 kg weight loss and 1 month of hematuria and dysuria was admitted to another hospital for sudden muscular weakness. He was found to have areflexic tetraparesis and was referred to our hospital.On admission, he was bradycardic, tachypneic, with flaccid tetraplegia. Laboratory results showed metabolic acidemia, severe hyperkalemia and hyponatremia, acute renal dysfunction and sterile pyuria. After hyperkalemia correction, the neurological symptoms resolved.On the second day, he became febrile and chest radiograph and CT images showed a pulmonary bilateral reticulomicronodular pattern, left hydronephrosis and diffuse bladder wall thickening. Disseminated tuberculosis was considered as diagnosis by the coexistence of this imagiologic alterations and sterile pyuria. Acid-fast test forMycobacteriumtuberculosiswas negative, but the urine culture became positive after 2 weeks.Antituberculosis treatment was started. One year later, he was asymptomatic and the structural urinary lesions had disappeared.

show abstract

Section: Discussionmentioning

confidence: 99%

Tetraparesia: an unusual presentation of disseminated tuberculosis

Quaresma¹,

Jesus

2017

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…El aislamiento de estos microorganismos por cultivo es difícil debido a que son estrictamente aeróbicos, por lo que la población bacilar es escasa. En la infección urinaria por especies del género Mycobacterium los sedimentos de orina presentan leucocituria y/o hematuria, y los cultivos corrientes son reiteradamente negativos [1][2][3][4] . El objetivo de este estudio fue conocer la frecuencia del aislamiento del género Mycobacterium en muestras de orina, destacando su importancia en este tipo de infección, donde en ocasiones el paciente sufre secuelas renales graves por un diagnóstico tardío.…”

Section: Introductionunclassified