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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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2015-02-01
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Series: | Iranian Journal of Public Health |
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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. |
first_indexed | 2024-12-19T13:48:08Z |
format | Article |
id | doaj.art-024774853af7465b817f5924debb4c65 |
institution | Directory Open Access Journal |
issn | 2251-6085 2251-6093 |
language | English |
last_indexed | 2024-12-19T13:48:08Z |
publishDate | 2015-02-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Public Health |
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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