A study of renal tuberculosis in Basra, Iraq

6^th Annual conference on Clinical & Pediatric Nephrology

May 09-10, 2016 New Orleans, USA

Hayder Salih Abbood

Basra College of Medicine, Iraq

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Background: Renal tuberculosis is the third most frequent form of extra-pulmonary tuberculosis. About 25% of cases are asymptomatic. It is more common in male and in age group 20-40 years. Urine culture for mycobacteria is the gold standard for the diagnosis. Objective: To use certain clinical criteria that helps in the diagnosis of renal tuberculosis. Patients & Methods: A cross sectional study of patients with recurrent urinary tract infections attends the private clinic, outpatient's clinic and medical ward in Basra Teaching Hospital from the period of September 2009 to September 2012. Certain clinical criteria were used for the diagnosis. Results: Thirty five patients with renal tuberculosis were studied. Seven (20%) patients had evidence of old pulmonary TB. The most common presenting complaint was frequency in 43.3%. Constitutional symptoms were reported in 65.7%. Urolithiasis was reported in 20%. Pyuria was reported in 77.1%, hematuria in 25.7% and sterile pyuria in 82.9% of cases. The tuberculin skin test was positive 74.3%. The intravenous urography (IVU) showed suggestive abnormalities in 82.9%. The urine culture for mycobacteria was positive in only 5.7%. Anemia was reported in 29.4% and 77.1% had high erythrocyte sedimentation rate (ESR). Conclusions: Renal tuberculosis occurred more frequently in females and mainly in patients of 40 to 60 years old. The majority of patients had no previous evidence of tuberculosis. Frequency was the most common presenting complaint. Diagnosis require high index of suspicion in patients with predisposing factors, suggestive urinary symptoms, abnormal urinalysis, sterile pyuria, positive tuberculin skin test, characteristic IVU findings or if accessible CT scan findings.

Biography :

Email: hsaaledani78@yahoo.com