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Does pyuria always suggest urinary tract infection with common microorganisms? Questions

Authors
  • Taşdemir, Mehmet1
  • Kaya, Hüseyin2
  • Taşdemir, Zeynep Atam3
  • 1 Koç University Hospital, Division of Pediatric Nephrology, Department of Pediatrics, Davutpaşa cd no:4 34010, Topkapı, Istanbul, Turkey , Istanbul (Turkey)
  • 2 Bağcılar Education and Research Hospital, Department of Pediatrics, Ministry of Health, Istanbul, Turkey , Istanbul (Turkey)
  • 3 Bağcılar Education and Research Hospital, Department of Pulmonology, Ministry of Health, Istanbul, Turkey , Istanbul (Turkey)
Type
Published Article
Journal
Pediatric Nephrology
Publisher
Springer-Verlag
Publication Date
Jul 18, 2017
Volume
33
Issue
4
Pages
611–613
Identifiers
DOI: 10.1007/s00467-017-3727-z
Source
Springer Nature
Keywords
License
Yellow

Abstract

Genitourinary system tuberculosis (GUTB) is a chronic granulomatous infection in which tuberculous bacilli affect one or more organs in the genitourinary system. In this report, an unusual presentation of miliary tuberculosis was presented as GUTB. A 15-year-old girl presented with complaints of severe abdominal pain and dysuria. Abdominal examination showed tenderness and defense. Pyuria and microscopic hematuria were observed. Acute abdominal causes could not be excluded through abdominal ultrasound. On abdominal computed tomography, a necrotic lesion was detected in the right kidney. Acid-fast bacilli were detected in the urine. Quartet anti-tuberculosis therapy was started. After treatment, static renal scintigraphy with 99mTc-dimer captosuccinic acid and single-photon emission CT imaging showed parenchymal injury. In any suspected patient, voiding symptoms, abdominal or flank pain, sterile pyuria, and hematuria should be kept in mind as the presenting manifestations of GUTB in the differential diagnosis.

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