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2010 | 5 | 5 | 569-572
Tytuł artykułu

Genitourinary tuberculosis in a 54-year-old woman: diagnostic difficulty

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Genitourinary tuberculosis (GUTB) is an extrapulmonary manifestation of tuberculosis seen in 1.2% of all cases of tuberculosis. The clinical case of a 54-year-old woman diagnosed with GUTB is presented. Cloudy urine, abdominal pain, and microscopic hematuria led us to investigate for Mycobacterium tuberculosis. Although cultures were negative, positive Ehrlich-Ziehl-Neelsen (EZN) staining and a positive polymerase chain reaction (PCR) revealed the diagnosis of M. tuberculosis complex (MTC), which was confirmed by treatment success. It has been shown that PCR is a reliable and rapid method for establishing or supporting the diagnosis of tuberculosis and can be used in a routine diagnostic algorithm when conventional methods fail to identify MTC.
Wydawca
Czasopismo
Rocznik
Tom
5
Numer
5
Strony
569-572
Opis fizyczny
Daty
wydano
2010-10-01
online
2010-08-20
Twórcy
autor
  • Department of Medical Microbiology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey
autor
  • Department of Medical Microbiology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey , dr_obaylan@yahoo.com
  • Department of Medical Microbiology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey
autor
  • Department of Infectious Diseases, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey
  • Department of Medical Microbiology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey
  • Department of Medical Microbiology, Haydarpasa Training Hospital, Gulhane Military Medical Academy, 34668, Istanbul, Turkey
Bibliografia
  • [1] Dye C., Scheele S., Dolin P., Pathania V., Raviglione M.C., Global burden of tuberculosis: estimated incidence, prevalence, and mortality by country. WHO Global Surveillance and Monitoring Project, JAMA, 1999, 282, 677–86 http://dx.doi.org/10.1001/jama.282.7.677[Crossref]
  • [2] Johnson C.W., Mc Aleer S.J., Johnson W.D., Tuberculosis and other opportunistic infections of the genitourinary system, In: Wein A.J., Kavoussi L.R., Novick A.C., Partin A.W., Peters C.A. (Eds.), Campbell-Walsh Urology, 9th edition, W.B. Saunders Company, Philadelphia, 2007
  • [3] Baylan O., Demiralp B., Cicek E.I., Albay A., Komurcu M., Kisa O. Et al., A case of tuberculous pyomyositis that caused a recurrent soft tissue lesion localized at the forearm. Jpn. J. Infect. Dis., 2005, 58, 376–79
  • [4] Hopewell P.C., Overview of clinical tuberculosis, In: Bloom B.R. (Ed.), Tuberculosis: Pathogenesis, Protection, and Control, ASM Press, Washington D.C., 1994
  • [5] Aslan G., Doruk E., Emekdas G., Serin M.S., Direkel S., Bayram G., et al., Isolation and identification of Mycobacterium tuberculosis from the urine samples by conventional and molecular methods, Mikrobiyol. Bul., 2007, 41, 185–92
  • [6] World Health Organization (WHO). Treatment of tuberculosis: Guidelines for national programmes, 3rd ed. Geneva, 2003. WHO/CDS/TB/2003.313 (http://whqlibdoc.who.int/hq/2003/WHO_CDS_TB_2003.313_eng.pdf)
  • [7] Cek M., Lenk S., Naber K.G., Bishop M.C., Johansen T.E., Botto H., et al., Members of the Urinary Tract Infection (UTI) Working Group of the European Association of Urology (EAU) Guidelines Office, EAU guidelines for the management of genitourinary tuberculosis, Eur. Urol., 2005, 48, 353–62
  • [8] Lenk S., Schroeder J., Genitourinary tuberculosis, Curr. Opin. Urol., 2001, 11, 93–8 http://dx.doi.org/10.1097/00042307-200101000-00014[Crossref]
  • [9] O’Boyle P., Gow J.G., Genitourinary tuberculosis: study of 20 patients, Br. Med. J., 1976, 1,141–3 http://dx.doi.org/10.1136/bmj.1.6002.141[Crossref]
  • [10] Guajardo M.S., Lopez J.A., Guerra, L.G., Montelongo, R.M., Genitourinary tuberculosis: a case report, Rev. Mex. Urol., 2008, 68, 237–40
  • [11] American Thoracic Society and the Centers for Disease Control and Prevention, Diagnostic standards and classification of tuberculosis in adults and children, Am. J. Respir. Crit. Care Med., 2000, 161,1376–95
  • [12] Hemal A.K., Gupta N.P., Rajeev T.P., Kumar R., Dar L., Seth P., Polymerase chain reaction in clinically suspected genitourinary tuberculosis: comparison with intravenous urography, bladder biopsy, and urine acid fast bacilli culture, Urology, 2000, 56, 570–574 http://dx.doi.org/10.1016/S0090-4295(00)00668-3[Crossref]
  • [13] Kim M.H., Yang H.Y., Suh, J.T., Lee H.J., Comparison of in-house PCR with conventional techniques and Cobas Amplicor M.tuberculosis™ kit for detection of Mycobacterium tuberculosis, Yonsei Med. J., 2008, 49, 537–44 http://dx.doi.org/10.3349/ymj.2008.49.4.537[Crossref]
  • [14] Wossler J.L., Mycobacterium tuberculosis and other non-tuberculous Mycobacteria. In: Mahon C.R., Manuselis G. (Eds.), Textbook of Diagnostic Microbiology, 2nd ed., W.B. Saunders Company, Philadelphia, 2000
  • [15] Chakravorty S., Sen M.K., Tyagi J.S., Diagnosis of extrapulmonary tuberculosis by smear, culture, and PCR using universal sample processing technology, J. Clin. Microbiol., 2005, 43, 4357–62 http://dx.doi.org/10.1128/JCM.43.9.4357-4362.2005[Crossref]
  • [16] Gomez E., Aguado S., Baltar J., Alvarez R., Laures A., Alvarez-Grande J., Sterile leukocyturia as a manifestation of urinary tuberculosis in renal transplant patients, Nephrol. Dial. Transplant., 1998, 13, 1610–11 http://dx.doi.org/10.1093/ndt/13.6.1610[Crossref]
  • [17] Wang L.J., Wu, C.F., Wong Y.C., Chuang C.K., Chu S.H., Chen C.J., Imaging findings of urinary tuberculosis on excretory urography and computerized tomography, J. Urol., 2003, 169, 524–8 http://dx.doi.org/10.1016/S0022-5347(05)63947-X[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-010-0011-z
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