[Nonspecific pyelonephritis and the formation of urinary calculi in urogenital tuberculosis].
The course of urogenital tuberculosis is complicated by unspecific bacterial infections of the urinary tract and nephrolithiasis. Among 605 patients with bacteriological or histological verified urogenital tuberculosis, 122 patients (20%) developed unspecific bacterial urinary infection--commonly caused by E. coli, proteus and pseudomonas--and 57 patients (9.4%) showed nephrolithiasis. In 42% of the lithiasis patients an urinary tract infection simultaneously occurred. 22 calculi are analyzed by the combined crystal-optical and x-ray-diffraction method with following results: 9 X struvite/carbonate apatite, 6 X calcium phosphate, 7 X calcium oxalate. The texture of 12 calculi was investigated on thin sections by polarization microscopy and a high concentration of organic material was found in both calcium oxalate and struvite/carbonate apatite calculi.
D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000175:diagnosis* / Q000473:pathology; D001437:Bacteriuria / Q000175:diagnosis; D002129:Calcium Oxalate / Q000652:urine; D002130:Calcium Phosphates / Q000652:urine; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D007669:Kidney Calculi / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D009392:Nephrectomy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000473:pathology; D014398:Tuberculosis, Renal / Q000175:diagnosis* / Q000473:pathology
D002130:Calcium Phosphates; C485828:alpha-tricalcium phosphate; C485830:tetracalcium phosphate; D002129:Calcium Oxalate; C485838:calcium phosphate, monobasic, anhydrous; C020243:calcium phosphate; C485829:calcium phosphate, dibasic, anhydrous
Unspezifische Pyelonephritis und Harnsteinbildung bei Urogenitaltuberkulose.