title: [Urinary Tuberculosis: Serious Complications May Occur when Diagnosis is Delayed].
abstract: Genitourinary tuberculosis is the third most common form of extrapulmonary tuberculosis, comprising 4 - 17% of extrapulmonary forms. The authors describe the case of a patient with recurrent urinary tract infections, without isolation of an infectious agent and without symptomatic resolution, despite antibiotic treatment. Imaging exams showed left ureteral stenosis with moderate hydronephrosis. The attempt of retrograde catheterization was impossible so we opted for percutaneous nephrostomy to renal relief. Microbiological urine analysis colleted by that way was positive for Mycobacterium tuberculosis complex. The patient started therapy with classical quadruple therapy and underwent nephrostomy for catheter placement. Despite therapeutic measures the patient required nephrectomy due to nonfunctioning kidney. Genitourinary tuberculosis is a diagnosis that should be considered in the presence of a persistent sterile pyuria.
authors.affiliation: Serviço de Pneumologia. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Sanches
authors.affiliation: Serviço de Pneumologia. Centro Hospitalar de Trás-os-Montes e Alto Douro. Vila Real. Portugal.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Pinto
authors.affiliation: Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Centro de Saúde de Espinho. Espinho. Portugal.
authors.forename: Mário
authors.initials: M
authors.lastname: Sousa
authors.affiliation: Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Serviço de Pneumologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal.
authors.forename: Aurora
authors.initials: A
authors.lastname: Carvalho
authors.affiliation: Centro de Diagnóstico Pneumológico de Vila Nova de Gaia. Vila Nova de Gaia. Portugal. Serviço de Pneumologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal. Departamento de Epidemiologia Clinica, Medicina Preditiva e Saúde Pública. Faculdade de Medicina. Universidade do Porto. Porto. Portugal. Instituto de Saúde Publica. Universidade do Porto. Porto. Portugal.
authors.forename: Raquel
authors.initials: R
authors.lastname: Duarte
authors.affiliation: Serviço de Urologia. Centro Hospitalar de Vila Nova de Gaia / Espinho. Vila Nova de Gaia. Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Pereira
mesh_terms: D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy