Current survey of urinary tuberculosis in Hokkaido, Japan.
Urinary tuberculosis has been rare in recent years and its diagnosis is difficult because there are no disease-specific symptoms. We tried to clarify the occurrence of urinary tuberculosis in recent years in our area. During the past 5 years, there were 12 patients with urinary tuberculosis in the clinics that participated in this study. Their chief complaints were frequent voiding in 7 patients and gross hematuria in 3 patients. They were diagnosed by nucleic acid amplification tests and imaging modalities such as excretory urography, computed tomography, and/or cystoscopy. Most of the patients received multidrug treatment and had relatively favorable treatment outcomes. There has been a small but neglected number of patients with urinary tuberculosis in recent years. We should keep this rare and difficult-to-diagnose disease in mind and suspect it when patients complain of longstanding urinary symptoms with no obvious cause.
Takahashi
Satoshi
S
Department of Urology, Sapporo Medical University School of Medicine, S 1, W 16 Chuo-ku, Sapporo 060-8543, Japan. stakahas@sapmed.ac.jp
Takeyama
Koh
K
Kunishima
Yasuharu
Y
Hashimoto
Kohei
K
Miyamoto
Shintaro
S
Ichihara
Kohji
K
Takagi
Yoshio
Y
Tanaka
Toshiaki
T
Hirose
Takaoki
T
Sunaoshi
Ken-Ichi
K
Takei
Fumiyasu
F
Miyao
Noriomi
N
Kurimura
Yuichiro
Y
Takagi
Seiji
S
Tsukamoto
Taiji
T
D000328:Adult; D000368:Aged; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D021141:Nucleic Acid Amplification Techniques; D016896:Treatment Outcome; D014401:Tuberculosis, Urogenital / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000382:microbiology*
D000904:Antibiotics, Antitubercular