Renal tuberculosis in an Australian-born child.
This report describes a case of renal tuberculosis, complicated by hypertension and ureteric obstruction, in a previously well Australian born child. Despite antituberculous chemotherapy and ureteric stenting, there was a progressive loss of renal function in the right kidney until surgical nephrectomy allowed full recovery. A high level of clinical suspicion is necessary for a diagnosis of genitourinary tuberculosis. Ureteric cicatrisation and obstruction occasionally may occur with healing, and therefore serial renal tract imaging during treatment is necessary to detect this complication.
Chang
A B
AB
Department of Thoracic Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
Grimwood
K
K
Hutson
J M
JM
Jones
C L
CL
D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D006977:Hypertension, Renal / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D014398:Tuberculosis, Renal / Q000000981:diagnostic imaging* / Q000601:surgery; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery; D014567:Urography