title: Unusual presentation of tuberculosis in the form of a bilateral renal pseudotumor.
abstract: Genitourinary tuberculosis (TB) is a common form of extrapulmonary tuberculosis. The kidneys are usually affected by hematogenous seeding at the time of primary pulmonary infection. Genitourinary TB has non-specific clinical presentations and variable radiographic appearances. We are reporting a case of genitourinary TB presenting as bilateral renal mass. The patient underwent computed tomography-guided kidney biopsy that showed a granulomatous lesion. Then, the patient was put on anti-tuberculous treatment with a good response. We feel that patients having multiple bilateral kidney lesions should undergo biopsy to determine the nature of the lesion before any surgical intervention.
authors.affiliation: Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, U. P., India.
authors.forename: Sanjeet Kumar
authors.initials: SK
authors.lastname: Singh
authors.forename: Anjana
authors.initials: A
authors.lastname: Singh
authors.forename: Anant
authors.initials: A
authors.lastname: Kumar
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D007668:Kidney / Q000382:microbiology / Q000473:pathology*; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed; D014398:Tuberculosis, Renal / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents