Genitourinary Tuberculosis, a Rare and Forgotten Cause
https://orcid.org/0000-0001-9653-3909
Martha Patricia Rodríguez Sánchez
Erika Geraldine Guarín Navas
Juan José Ríos Valbuena
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We present a case of a 66-year-old male patient with a clinical history of chronic kidney disease and obstructive uropathy. The patient required transitory hemodialysis during 5 months. The patient presented with clinical signs of a complicated upper urinary tract infection with sepsis along with KDIGO stage 3 acute kidney injury needing renal replacement therapy until recovery. Empiric antibiotic therapy was implemented without improvement and pyuria persisted. Urinary cultures were negative. The patient was taken to a left percutaneous renal nephrostomy and due to high suspicion of renal tuberculosis, a GeneExpert PCR was ordered. This case represents a rare presentation of renal infection leading to both functional and structural complications in an endemic region for TB.
Renal tuberculosis, Chronic kidney disease, acute kidney injury, renal dialysisTuberculosis renal, Insuficiencia Renal Crónica, Diálisis Renal, Lesión Renal Aguda
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