A case report of an End–stage renal disease due to delayed diagnosis of renal tuberculosis.

Dr. Prasad Potdukhe; Dr.Pranay Gandhi; Dr. Snehal Potdukhe

Volume : IV, Issue : IX, September - 2015

A case report of an End–stage renal disease due to delayed diagnosis of renal tuberculosis.

Dr. Prasad Potdukhe, Dr. Pranay Gandhi, Dr. Snehal Potdukhe

Abstract :

Renal TB is difficult to diagnose, because many patients present themselves with lower urinary symptoms which are typical of bacterial cystitis. We report a case of a young woman with renal TB and ESRD. She was admitted with complaints of adynamia, anorexia, fever, weight loss, dysuria and generalized edema for 10 months. Two laparotomies were performed, in which abscess in pelvic region was found. Anti–peritoneal tuberculosis treatment with rifampin, isoniazid and pyrazinamide was started. The CT scan showed signs of chronic nephropathy, dilated calyces and thinning of renal cortex in both kidneys and severe dilation of ureter. The patient developed neurologic symptoms, suggesting tuberculous meningoencephalitis, and died despite of support measures adopted. The patient had ESRD due to secondary uropathy to prolonged tuberculosis of urinary tract that was caused by delayed clinical and laboratorial diagnosis, and probably due to inadequate antituberculous drugs administration.