title: Use of Corticosteroids for Urinary Tuberculosis Patients at Risk of Developing Ureteral Obstruction.
abstract: A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an anti-tuberculosis drug regimen. He had bilateral hydronephrosis, and his right kidney was radiologically diagnosed to be non-functioning. A transurethral catheter was placed in the left ureter. No improvement in the ureteral stricture was noted during the initial three weeks of treatment; however, the stricture did thereafter improve after the commencement of oral prednisolone. In cases of urinary tuberculosis, ureteral stricture can deteriorate and result in ureteral obstruction during anti-tuberculosis treatment. Pre-emptive administration of corticosteroids may be beneficial for preventing such stricture in patients with a pre-existing ureteral lesion.
authors.affiliation: Department of Clinical Medicine, Institute of Tropical Medicine, Nagasaki University, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Matsui
authors.forename: Akitsugu
authors.initials: A
authors.lastname: Furumoto
authors.forename: Kojiro
authors.initials: K
authors.lastname: Ohba
authors.forename: Kota
authors.initials: K
authors.lastname: Mochizuki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tanaka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Takaki
authors.forename: Konosuke
authors.initials: K
authors.lastname: Morimoto
authors.forename: Koya
authors.initials: K
authors.lastname: Ariyoshi
mesh_terms: D000368:Aged; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000175:diagnosis; D014517:Ureteral Obstruction / Q000209:etiology / Q000517:prevention & control*
chemical_list: D005938:Glucocorticoids