Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report
Abstract Background Urinary tract tuberculosis (UTTB) is a common form of extrapulmonary tuberculosis (TB) which can infrequently present as renal carcinoma, leading to serious errors in the diagnosis and treatment of UTTB. Case presentation A 76-year-old Syrian man presented with gross hematuria as...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-022-03491-8 |
| _version_ | 1818198334960041984 |
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| author | Sarya Swed Mais Barazi Yamane Chawa Mahmoud Alhamadeh Alswij Leena Abdelwahab Alshareef Sami Bitar Hazem S. Ghaith Karam R. Motawea |
| author_facet | Sarya Swed Mais Barazi Yamane Chawa Mahmoud Alhamadeh Alswij Leena Abdelwahab Alshareef Sami Bitar Hazem S. Ghaith Karam R. Motawea |
| author_sort | Sarya Swed |
| collection | DOAJ |
| description | Abstract Background Urinary tract tuberculosis (UTTB) is a common form of extrapulmonary tuberculosis (TB) which can infrequently present as renal carcinoma, leading to serious errors in the diagnosis and treatment of UTTB. Case presentation A 76-year-old Syrian man presented with gross hematuria as the main symptom. A urinary endoscopic examination and pelvic multi-slice computed tomography imaging increased the suspicion of a speared renal mass in the right urinary tract. The patient was treated for renal cancer. After nephrectomy and ureterctomy, the histopathology of the resected mass confirmed the diagnosis of UTTB and interstitial nephritis. Conclusion This case should serve to increase the attention of clinicians to perform an accurate diagnosis step by step. This is especially important if they have a patient similar to the case described here who presents with a renal mass, to avoid serious results such as the loss of an essential organ system. |
| first_indexed | 2024-12-12T02:04:14Z |
| format | Article |
| id | doaj.art-a930b44fb0554ebf899a5ef1c6411033 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-12T02:04:14Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-a930b44fb0554ebf899a5ef1c64110332022-12-22T00:42:06ZengBMCJournal of Medical Case Reports1752-19472022-07-011611410.1186/s13256-022-03491-8Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case reportSarya Swed0Mais Barazi1Yamane Chawa2Mahmoud Alhamadeh Alswij3Leena Abdelwahab Alshareef4Sami Bitar5Hazem S. Ghaith6Karam R. Motawea7Faculty of Medicine, University of AleppoDepartment of Internal Medicine, Aleppo University HospitalDepartment of Endocrinology Medicine, Aleppo University HospitalDepartment of Internal Medicine, Aleppo University HospitalFaculty of Medicine and Health Sciences, Red Sea UniversityDepartment of Internal Medicine, Aleppo University HospitalFaculty of Medicine, Al-Azhar UniversityFaculty of Medicine, Alexandria UniversityAbstract Background Urinary tract tuberculosis (UTTB) is a common form of extrapulmonary tuberculosis (TB) which can infrequently present as renal carcinoma, leading to serious errors in the diagnosis and treatment of UTTB. Case presentation A 76-year-old Syrian man presented with gross hematuria as the main symptom. A urinary endoscopic examination and pelvic multi-slice computed tomography imaging increased the suspicion of a speared renal mass in the right urinary tract. The patient was treated for renal cancer. After nephrectomy and ureterctomy, the histopathology of the resected mass confirmed the diagnosis of UTTB and interstitial nephritis. Conclusion This case should serve to increase the attention of clinicians to perform an accurate diagnosis step by step. This is especially important if they have a patient similar to the case described here who presents with a renal mass, to avoid serious results such as the loss of an essential organ system.https://doi.org/10.1186/s13256-022-03491-8Urinary tract tuberculosisPseudotumoral renal tuberculosisRenal carcinoma |
| spellingShingle | Sarya Swed Mais Barazi Yamane Chawa Mahmoud Alhamadeh Alswij Leena Abdelwahab Alshareef Sami Bitar Hazem S. Ghaith Karam R. Motawea Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report Journal of Medical Case Reports Urinary tract tuberculosis Pseudotumoral renal tuberculosis Renal carcinoma |
| title | Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report |
| title_full | Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report |
| title_fullStr | Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report |
| title_full_unstemmed | Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report |
| title_short | Urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis: a case report |
| title_sort | urinary tract tuberculosis misdiagnosed and treated as renal carcinoma in the presence of diffuse interstitial nephritis a case report |
| topic | Urinary tract tuberculosis Pseudotumoral renal tuberculosis Renal carcinoma |
| url | https://doi.org/10.1186/s13256-022-03491-8 |
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