Download Clinical, laboratory, radiographic manifestations of Genitourinary TB

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

page
1
page
2
page
3
page
4
Document related concepts
no text concepts found
Transcript 
Clinical, laboratory, radiographic
manifestations of Genitourinary TB
Clinical Manifestations
•
Most Common Findings 1
–
–
–
–
–
–
–
–
–
–
–
–
–
•
flank pain
dysuria (nonspecific vesical symptoms)
hematuria (microscopic or macroscopic)
urinary frequency
Nocturia
malaises/fatigue
stomach pain
urgency and incontinence
night sweats
scrotal mass
abdominal mass
leakage of urine
cough with or without bloody sputum
Constitutional symptoms of weight loss, fatigue, and anorexia were less common. 2
1
Gokce, G., Kilicarslan, H., Ayan, S., Tas, F., Akar, R., Kaya, K., et al. (2002). Genitourinary tuberculosis: A review of 174 cases.
Scandinavian Journal of Infectious Disease, 34, 338-340.
2
Gibson, M.S., Puckett, M.L., & Shelly, M.E. (2004). Renal tuberculosis. RadioGraphics, 24, 251-256.
Clinical Manifestations
• Most Common Physical Findings
– tenderness over the costovertebral angle
– low-grade fever
• Less-common physical findings
–
–
–
–
–
–
–
palpable kidney
Hypertension
tenderness in the suprapubic region
thickened epididymis
urethral stricture
scrotal fistula
vesicovaginal fistula.
• While it is important to understand that local urinary symptoms may be
predominant, the client may be completely asymptomatic until large
granulomas have formed within the kidney.
1
Gokce, G., Kilicarslan, H., Ayan, S., Tas, F., Akar, R., Kaya, K., et al. (2002). Genitourinary tuberculosis: A
review of 174 cases. Scandinavian Journal of Infectious Disease, 34, 338-340.
Clinical Manifestations
Int Urol Nephrol. 2009;41(2):327-33. Epub 2008 Jul 22.
Figueiredo AA, Lucon AM, Júnior RF, Ikejiri DS, Nahas WC, Srougi M
Urogenital tuberculosis in immunocompromised patients.
•
OBJECTIVE: Compare the clinicoradiological presentation of urogenital tuberculosis
(UGT) between immunocompromised and nonimmunocompromised patients.
• CONCLUSIONS: UGT has a different clinicoradiological
presentation in immunocompromised patients, with
predominance of systemic symptoms, disseminated
tuberculosis, multiple parenchymatous renal foci, and lower
frequency of lesions of the collecting system. In the context of
immunosuppression, UGT behaves as a severe bacterial
infection, with bacteremia and visceral metastatic foci.
Related documents