title: Complicated urinary infection and extrapulmonary tuberculosis.
abstract: Approximately 30% of the world population presents with tuberculosis. In developed countries, genitourinary manifestation is responsible for over 40% of extrapulmonary cases. Genitourinary tuberculosis is often diagnosed in the later stage due to the fact that the symptoms are non-specific and technical difficulties to isolate the tubercle bacillus through bacilloscopy or culture in specific medium are many. We present a case of a 47-year-old African-American woman with relapsing urinary infection and sterile pyuria. After a 4 four-year evolution, the patient developed functional exclusion of the right kidney as a consequence of chronic pyelonephritis. The investigation result for alcohol-acid bacillus resistant in urine was positive along with the culture for Mycobacterium tuberculosis.
authors.affiliation: Department of General Practice, Faculdade De Medicina Do Abc, Santo Andre, Sao Paulo, Brazil. mrbacci@yahoo.com
authors.forename: Marcelo Rodrigues
authors.initials: MR
authors.lastname: Bacci
authors.forename: José Jorge
authors.initials: JJ
authors.lastname: Namura
authors.forename: Andrea Thaumaturgo
authors.initials: AT
authors.lastname: Lera
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D014398:Tuberculosis, Renal / Q000150:complications*; D014552:Urinary Tract Infections / Q000150:complications* / Q000382:microbiology*