Abstract
Abstract
Background
Urinary tract tuberculosis (UTTB) is a common form of extrapulmonary tuberculosis (TB) which can infrequently present as renal carcinoma, leading to serious errors in the diagnosis and treatment of UTTB.
Case presentation
A 76-year-old Syrian man presented with gross hematuria as the main symptom. A urinary endoscopic examination and pelvic multi-slice computed tomography imaging increased the suspicion of a speared renal mass in the right urinary tract. The patient was treated for renal cancer. After nephrectomy and ureterctomy, the histopathology of the resected mass confirmed the diagnosis of UTTB and interstitial nephritis.
Conclusion
This case should serve to increase the attention of clinicians to perform an accurate diagnosis step by step. This is especially important if they have a patient similar to the case described here who presents with a renal mass, to avoid serious results such as the loss of an essential organ system.
Publisher
Springer Science and Business Media LLC
Reference8 articles.
1. World Health Organization. First WHO global ministerial conference ending TB in the sustainable development era: a multisectoral response. 2017. https://www.who.int/tb/features_archive/Moscow_Declaration_to_End_TB_final_ENGLISHpdf.
2. Minoura K, Yamada M, Mizoguchi T, et al. Antibacterial effects of the artificial surface of nanoimprinted moth-eye film. PLoS ONE. 2017;12: e0185366.
3. Chapagain A, Dobbie H, Sheaff M, Yaqoob MM. Presentation, diagnosis, and treatment outcome of tuberculous-mediated tubulointerstitial nephritis. Kidney Int. 2011;79:671–7.
4. Simon HB, Weinstein AJ, Pasternak MS, Swartz MN, Kunz LJ. Genitourinary tuberculosis. Clinical features in a general hospital population. Am J Med. 1977;63:410–20.
5. Daher EDF, da Silva Jr. GB, Barros EJ. Renal tuberculosis in the modern era. Am J Trop Med Hyg. 2013;88:54–64.