Chotmongkol V, Kiertiburanakul S
Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
Southeast Asian J Trop Med Public Health. 2001 Jun;32(2):394-6.
The association of tuberculous meningitis (TBM) and urinary tract tuberculosis is very rare. Two cases of this condition are reported. Both presented with subacute to chronic meningitis with lymphocytic pleocytosis, elevation of protein content and depression of glucose level of cerebrospinal fluid. Pyuria and hematuria were detected and Ziehl-Neelsen's stain was positive for acid fast bacilli (AFB). Urographic abnormalities were compatible with urinary tract tuberculosis. AFB smear of urine is the simplest method to detect urinary tract tuberculosis.
结核性脑膜炎（TBM）与泌尿系统结核的关联非常罕见。本文报告了两例这种情况。两例均表现为亚急性至慢性脑膜炎，伴有淋巴细胞增多、脑脊液蛋白含量升高和葡萄糖水平降低。检测到脓尿和血尿，齐-尼氏染色显示抗酸杆菌（AFB）阳性。尿路造影异常与泌尿系统结核相符。尿液抗酸杆菌涂片是检测泌尿系统结核最简单的方法。
