Keywords
Chronic kidney disease
acute kidney injury
renal dialysis
How to Cite
Abstract
We present a case of a 66-year-old male patient with a clinical history of chronic kidney disease and obstructive uropathy. The patient required transitory hemodialysis during 5 months. The patient presented with clinical signs of a complicated upper urinary tract infection with sepsis along with KDIGO stage 3 acute kidney injury needing renal replacement therapy until recovery. Empiric antibiotic therapy was implemented without improvement and pyuria persisted. Urinary cultures were negative. The patient was taken to a left percutaneous renal nephrostomy and due to high suspicion of renal tuberculosis, a GeneExpert PCR was ordered. This case represents a rare presentation of renal infection leading to both functional and structural complications in an endemic region for TB.
Muneer A, Macrae B, Krishnamoorthy S, Zumla A. Urogenital tuberculosis: epidemiology, pathogenesis and clinical features. Nat Rev Urol. 2019;16(10):573-98.
Barba Evia JR. Tuberculosis. ¿Es la pandemia ignorada? Rev Mex Patol Clín Med Lab. 2020;67(2):93-112.
Ministerio de Salud y Protección Social de Colombia. Lineamientos para la prevención y control de la tuberculosis ante la contingencia de la pandemia generada por el COVID-19 en Colombia año 2020 versión 1 [internet]. Bogotá; 2020. Disponible en: https://www.minsalud.gov.co/Ministerio/Institucional/Procesos %20y %20procedimientos/GIPS23.pdf
Colombia, Instituto Nacional de Salud. Protocolo de vigilancia en salud pública de tuberculosis: versión 6 [internet]. 2022. https://doi.org/10.33610/infoeventos
Nieto-Ríos J, Zea-Lopera J, Sánchez-López S, Barrientos-Henao S, Bello Márquez D, Velez Hoyos A, et al. Tuberculosis urogenital en un paciente con falla renal, estado del arte. Iatreia. 2020;33(4):360-9. https://doi.org/10.17533/udea.iatreia.67
De Francesco Daher E, Da Silva GB, Guardão Barros EJ. Review: Renal tuberculosis in the modern era. Am J Trop Med Hyg. 2013;88(1):54-64.
Castro-Duarte JC, López-Alarcón A, Villegas-Capiz J. Tuberculosis genitourinaria. Rev Mex Urol [internet]. 2011;71(81):18-21. Disponible en: https://www.elsevier.es/es-revista-revista-mexicana-urologia-302-articulo-tuberculosis-genitourinaria-X2007408511009602
Gallegos-Sánchez G, Rosales-Velázquez CE, Ruvalcaba-Oceguera GE, Aragón-Castro MA, Gutiérrez-Rosales R, Ordoñez-Jurado AU. Incidence and clinical characteristics of patients with genitourinary tuberculosis from 2003 to 2019 at a tertiary care hospital center. Rev Mex Urol. 2020;80(2):1-16. https://doi.org/10.48193/rmu.v80i2.583
Kulchavenya E, Kholtobin D, Shevchenko S. Challenges in urogenital tuberculosis. World J Urol. 2020;38(1):89-94. https://doi.org/10.1007/s00345-019-02767-x
Sankhe A, Joshi AR. Multidetector CT in renal tuberculosis. Curr Radiol Rep. 2014;2(11). https://doi.org/10.1007/s40134-014-0069-5
Wejse C. Medical treatment for urogenital tuberculosis (UGTB). GMS Infect Dis. 2018;6:Doc04. https://doi.org/10.3205/id000039
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Manuel Alejandro Nieto González, Martha Patricia Rodríguez Sánchez, Erika Geraldine Guarín Navas , Juan José Ríos Valbuena