[Does renal mycobacteriosis exist?].
Urinary mycobacteriosis is rare although nontuberculous mycobacteria (NTM) are frequently isolated from the urine. 63 patients (pts) with NTM isolated from the urine were followed up 1 to 8 years; the most frequent complaint was low back discomfort (91% pts), while the leading laboratory findings were pyuria (72%) and microscopic hematuria (57%). Intermittent proteinuria was present in the minority (35%) showing nonnephrotic range. IVP revealed pathologic findings in 72% of the pts. During follow up none of the pts have had clinical or laboratory progression of the disease. Standard antituberculosis therapy has been applied in 22 pts, only 4 with satisfactory response. -Evidence of NTM does not exclude search for other possible causes of hematuria or pyuria; -renal mycobacteriosis, even if it does exist as an entity, is not as aggressive as tuberculosis; -standard treatment regimen for tuberculosis does not have positive effects in majority and susceptibility testing is necessary.
Paunić
Z
Z
Institute for Kidney Disease, Zvezdara Hospital Centre, Belgrade.
Savidjević
Lj
Lj
Cakić
Z
Z
Dimković
N
N
Radmilović
A
A
D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis*; D014398:Tuberculosis, Renal / Q000175:diagnosis*
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