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RENAL TUBERCULOSIS – A CHALLENGE IN DIAGNOSTIC AND TREATEMENT

机译:肾结核–诊断和治疗方面的挑战

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TUBERCULOSIS IS CAUSED BY A BACTERIA CALLED MYCOBACTERIUM TUBERCULOSIS. THESE DESEASESTILL REMAINS A SERIOS HEALTH ISSUE IN UNDEVELOPED COUNTRIES. IT USSUALY AFFECTS THERESPIRATORY TRACT, BUT ALSO HAVE EXTRAPULMOARY LOCATIONS. FROM THE EXTRAPULMONARYCASES, RENAL TUBERCULOSIS IS FOUND IN 27% OF THE CASES. EXTRAPULMONARY TUBERCULOSIS ISUSUALY DISCOVERED IN PATIENTS WITH DEPRESED IMMUNE SYSTEM LIKE PATIENTS WITH HIV ANDAFTER DIFFERENT ORGAN TRANSPLANTATION. THE INVOLVEMENTT OF THE KIDNEY IN TUBERCULOSISCAN BE PART OF A DISSEMINATED INFECTION OR A LOCALIZED GENITOURINARY DISEASE, AND ITREPRESENTS A CHALLENGE IN DIAGNOSTIC. THE PATIENTS WITH RENAL TUBERCULOSIS PRESENTSSTERILE PYURIA. AS TREATEMENT, THE FIRST LINE IS REPRESENTED BY ISONIAZIDE, RIFAMPICIN,PIRAZINAMIDE, ETHAMBUTOL, AND STREPTOMYCIN, BUT NOT IN FEW CASES SURGICAL INTERVENTIONIS REQUIRED BECAUSE IF LEFT UNTREATED CAN LEAD TO RENAL DISTRUCTION, OR A SMALL ANDUNEXTENDABLE BLADDER.
机译:结核病是由细菌性结核分枝杆菌引起的。这些绝症在未开发国家/地区引起了严重的健康问题。它通常会影响呼吸道,但也有肺外位置。在肺外病例中,有27%的病例发现了肺结核。在免疫系统较差的患者(如患有HIV和不同器官移植的患者)中通常发现肺外结核。肾脏在肺结核中的侵袭可能是传播感染或局部泌尿生殖系统疾病的一部分,并在诊断中表现出挑战。患有肾结核的患者存在不育脓疱症。作为治疗,异烟肼,利福平,吡嗪酰胺,乙胺丁醇和链霉素代表第一线,但在少数情况下不需要进行外科手术,因为如果左手未经治疗可能会导致直肠扩张或畸形。

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