Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report

Genitourinary tuberculosis (GUTB) is difficult to diagnose in the earlier stage owing to the non-specific symptoms. Usually, renal tuberculous involvement is unilateral and the imaging finding is renal calcification, but associated calcifications of bilateral ureter and bladder are rare. We report a...

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Main Authors: Hairong Chen, Yubo Liu, Dawei Wu
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2015-02-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/3676
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author Hairong Chen
Yubo Liu
Dawei Wu
author_facet Hairong Chen
Yubo Liu
Dawei Wu
author_sort Hairong Chen
collection DOAJ
description Genitourinary tuberculosis (GUTB) is difficult to diagnose in the earlier stage owing to the non-specific symptoms. Usually, renal tuberculous involvement is unilateral and the imaging finding is renal calcification, but associated calcifications of bilateral ureter and bladder are rare. We report a 66-year-old man who presented with diffuse calcification of the urinary system (including bilateral pelvicalyceal system, both ureters and bladder) and disseminated miliary tuberculosis due to GUTB. He had been misdiagnosed with urinary tract infection and urinary lithiasis for two years before the diagnosis of GUTB was confirmed by microbiological examination of the urine. This case highlights the importance of maintaining a high index of clinical suspicion for GUTB.
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spelling doaj.art-024774853af7465b817f5924debb4c652022-12-21T20:18:49ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932015-02-014423541Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case ReportHairong Chen0Yubo Liu1Dawei Wu2Shandong University School of Medicine, Jinan, China AND Dept. of Intensive Care Medicine, Shandong Provincial Chest Hospital, Jinan, China.Dept. of Radiology, Provincial Hospital Affiliated to Shandong University, Jinan, China.Dept. of Intensive Care Medicine, Qilu Hospital, Shandong University, Jinan, China.Genitourinary tuberculosis (GUTB) is difficult to diagnose in the earlier stage owing to the non-specific symptoms. Usually, renal tuberculous involvement is unilateral and the imaging finding is renal calcification, but associated calcifications of bilateral ureter and bladder are rare. We report a 66-year-old man who presented with diffuse calcification of the urinary system (including bilateral pelvicalyceal system, both ureters and bladder) and disseminated miliary tuberculosis due to GUTB. He had been misdiagnosed with urinary tract infection and urinary lithiasis for two years before the diagnosis of GUTB was confirmed by microbiological examination of the urine. This case highlights the importance of maintaining a high index of clinical suspicion for GUTB.https://ijph.tums.ac.ir/index.php/ijph/article/view/3676CalcificationGenitourinary tuberculosisMiliary tuberculosisRenal failure
spellingShingle Hairong Chen
Yubo Liu
Dawei Wu
Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
Iranian Journal of Public Health
Calcification
Genitourinary tuberculosis
Miliary tuberculosis
Renal failure
title Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
title_full Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
title_fullStr Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
title_full_unstemmed Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
title_short Diffuse Calcification of the Urinary System and Miliary Tuberculosis Due To Delayed Diagnosis of Genitourinary Tuberculosis: A Case Report
title_sort diffuse calcification of the urinary system and miliary tuberculosis due to delayed diagnosis of genitourinary tuberculosis a case report
topic Calcification
Genitourinary tuberculosis
Miliary tuberculosis
Renal failure
url https://ijph.tums.ac.ir/index.php/ijph/article/view/3676
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AT daweiwu diffusecalcificationoftheurinarysystemandmiliarytuberculosisduetodelayeddiagnosisofgenitourinarytuberculosisacasereport