[Urogenital tuberculosis in children].
BACKGROUND
Tuberculosis of the uro-genital tract is uncommon in both sexes before puberty.


METHODS
Case 1. A 10 year-old boy suffered from chronic cystitis. Urine examination showed pyuria without bacteria and absence of mycobacterium tuberculosis on direct smears and culture. Intravenous pyelography showed left ureterohydronephrosis and a non functioning right kidney with calcifications. A right nephrectomy was performed which showed caseous lesions with granulomas. A triple specific therapy failed to completely cure the vesicoureteral lesions. Case 2. A 9 year-old boy was admitted for the suspicion of appendicitis. Renal ultrasonography showed features of abscesses located to the right kidney and the liver. Laparotomy showed their tuberculous origin which was confirmed by histological examination and positive search for Mycobacterium tuberculosis in urine. The course was favorable under specific treatment.


CONCLUSIONS
Diagnosis of tuberculosis of the uro-genital tract may be difficult leading to a delayed treatment and sequellae.
Benchekroun
T S
TS
Service des maladies infectieuses, hôpital d'Enfants-Malades, Rabat.
Kriouil
A
A
Belkacem
A
A
Jorio-Benkhraba
M
M
el Fakir
Y
Y
Benhammou
M
M
Outarahout
O
O
el Malki-Tazi
A
A
D002648:Child; D003556:Cystitis / Q000209:etiology; D006801:Humans; D008297:Male; D011379:Prognosis; D014389:Tuberculosis, Male Genital / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014398:Tuberculosis, Renal / Q000150:complications / Q000175:diagnosis* / Q000628:therapy