Tuberculosis of the Renal Artery: A Rare Cause of Renovascular Arterial Hypertension

Bouziane, Zakariyae; Boukhabrine, Khalil; Lahlou, Z.; Benzirar, Adnane; Mahi, Omar El; Lekehal, B.; Mesnaoui, A. El; Bensaïd, Y.

doi:10.1016/j.avsg.2008.02.022

Cited by 10 publications

(7 citation statements)

References 7 publications

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“…The postoperative course was uneventful, with an 18-month follow up. Arterial pressure was normal without antihypertensive treatment and the bypass was patent [Bouziane et al 2009].…”

Section: Resultsmentioning

confidence: 99%

Extrapulmonary tuberculosis: are statistical reports accurate?

Kulchavenya¹

2014

Therapeutic Advances in Infection

110

105

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Before discussing the epidemiology of extrapulmonary tuberculosis (EPTB) and particularly urogenital tuberculosis (UGTB), unification of the terminology is necessary. The term 'urogenital tuberculosis' is preferable to 'genitourinary tuberculosis', as renal and urinary tract tuberculosis is more common than genital tuberculosis. Some understand the term 'extrapulmonary tuberculosis' as a specific tuberculosis (TB) lesion of all organs excluding the bronchus, lungs, pleura and intrathoracic bronchopulmonary lymph nodes, but others consider pleural TB as one form of EPTB - and it is a reason for very different proportions in the spectrum of EPTB. Enigmatic tendencies have also been revealed in patients' distribution - in neighbouring regions the incidence rate may differ significantly. Although there is no clear explanation for these tendencies, careful study of the epidemiology of EPTB in different conditions will improve early diagnosis.

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“…The postoperative course was uneventful, with an 18-month follow up. Arterial pressure was normal without antihypertensive treatment and the bypass was patent [Bouziane et al 2009].…”

Section: Resultsmentioning

confidence: 99%

Extrapulmonary tuberculosis: are statistical reports accurate?

Kulchavenya¹

2014

Therapeutic Advances in Infection

110

105

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“…Bouziane and colleagues [Bouziane et al 2009] have seen TB of the renal artery. A 17-year-old patient presenting with renovascular arterial hypertension, was revealed by the ultrasonography, when an occlusion of the right renal artery as well as pararenal and mesenteric polyadenopathy were found.…”

Section: Resultsmentioning

confidence: 99%

Diseases masking and delaying the diagnosis of urogenital tuberculosis

Kulchavenya

Kholtobin

2015

Therapeutic Advances in Urology

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As urogenital tuberculosis (UGTB) has no specific clinical features, it is often overlooked. To identify some of the reasons for misdiagnosing UGTB we performed a systematic review. We searched in Medline/PubMed papers with keywords 'urogenital tuberculosis, rare' and 'urogenital tuberculosis, unusual'. 'Urogenital tuberculosis, rare' presented 230 articles and 'urogenital tuberculosis, unusual' presented 81 articles only, a total of 311 papers. A total of 34 papers were duplicated and so were excluded from the review. In addition, we excluded from the analysis 33 papers on epidemiological studies and literature reviews, papers describing non-TB cases and cases of TB another than urogenital organs (48 articles), cases of congenital TB (three articles), UGTB as a case of concomitant disease (16 articles), and UGTB as a complication of BCG-therapy (eight articles). We also excluded 22 articles dedicated to complications of the therapy, which made a total of 164 articles. Among the remaining 147 articles we selected 43 which described really unusual, difficult to diagnose cases. We also included in our review a WHO report from 2014, and one scientific monograph on TB urology. The most frequent reasons for delayed diagnosis were absence typical clinical features of UGTB, and the tendency of UGTB to hide behind the mask of another disease. We can conclude that actually UGTB is not rare disease, but it is often an overlooked disease. The main reasons for delayed diagnosis are vague, atypical clinical features and a low index of suspicion.

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“…In two case reports, tuberculous lymphadenopathy compressed the renal arteries, which resulted in hypertension. 55,56 A tuberculous aneurysm of the abdominal aorta, compressing the renal arteries and thereby leading to hypertension, has also been reported. 57 In another case, tuberculous granulomas in the vascular wall of the renal artery led to renal ischemia and hypertension.…”

Section: Occurrence Of Hypertension In Tb Patients-individual Clinicamentioning

confidence: 99%