Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease

Mycobacterium tuberculosis is the leading cause of infectious disease-related death worldwide. However, it is less frequently encountered in developed countries, and 90% of cases are reported in adults, making it a less commonly encountered entity in pediatric radiology. The disease is treatable, bu...

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Main Authors: Matthew Pagni, MD, Matthew Thompson, MD, Kacy Ramirez, MD, George Koberlein, MD
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320300595
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author Matthew Pagni, MD
Matthew Thompson, MD
Kacy Ramirez, MD
George Koberlein, MD
author_facet Matthew Pagni, MD
Matthew Thompson, MD
Kacy Ramirez, MD
George Koberlein, MD
author_sort Matthew Pagni, MD
collection DOAJ
description Mycobacterium tuberculosis is the leading cause of infectious disease-related death worldwide. However, it is less frequently encountered in developed countries, and 90% of cases are reported in adults, making it a less commonly encountered entity in pediatric radiology. The disease is treatable, but symptoms of renal disease are nonspecific and should be identified early. A high index of clinical suspicion and supportive imaging studies, particularly in immigrant or exposed children, is prudent to prevent irreversible organ damage. We report a rare case of a 16-year-old Mexican immigrant male who presented with chronic dysuria, urinary frequency, intermittent hematuria, hydronephrosis, ureteral stenosis, and evolving autonephrectomy secondary to renal M. tuberculosis. Keywords: Pediatric, Tuberculosis, Infectious disease, Genito-urinary
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spelling doaj.art-e89105d47e114dccb989efe73f1106202022-12-21T21:34:02ZengElsevierRadiology Case Reports1930-04332020-05-01155596601Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common diseaseMatthew Pagni, MD0Matthew Thompson, MD1Kacy Ramirez, MD2George Koberlein, MD3Hugh Chatham Memorial Hospital, 180 Parkwood Drive, Elkin, NC 28621, USAAssistant Professor, Pediatric Radiology Wake forest Health, Brenner Children's Hospital, 1 Medical Center Blvd, Winston-Salem, NC 27157, USAAssistant Professor, Infectious Disease Wake Forest Health, Brenner Children's Hospital, 1 Medical Center Blvd, Winston-Salem, NC 27157, USAAssistant Professor, Pediatric Radiology Section Head Pediatric Radiology Wake Forest Health, Brenner Children's Hospital, 1 Medical Center Blvd, Winston-Salem, NC 27157, USA; Corresponding author.Mycobacterium tuberculosis is the leading cause of infectious disease-related death worldwide. However, it is less frequently encountered in developed countries, and 90% of cases are reported in adults, making it a less commonly encountered entity in pediatric radiology. The disease is treatable, but symptoms of renal disease are nonspecific and should be identified early. A high index of clinical suspicion and supportive imaging studies, particularly in immigrant or exposed children, is prudent to prevent irreversible organ damage. We report a rare case of a 16-year-old Mexican immigrant male who presented with chronic dysuria, urinary frequency, intermittent hematuria, hydronephrosis, ureteral stenosis, and evolving autonephrectomy secondary to renal M. tuberculosis. Keywords: Pediatric, Tuberculosis, Infectious disease, Genito-urinaryhttp://www.sciencedirect.com/science/article/pii/S1930043320300595
spellingShingle Matthew Pagni, MD
Matthew Thompson, MD
Kacy Ramirez, MD
George Koberlein, MD
Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
Radiology Case Reports
title Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
title_full Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
title_fullStr Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
title_full_unstemmed Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
title_short Extrapulmonic presentation of tuberculosis: An atypical urogenital presentation of a common disease
title_sort extrapulmonic presentation of tuberculosis an atypical urogenital presentation of a common disease
url http://www.sciencedirect.com/science/article/pii/S1930043320300595
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