Petković S, Sumarac Z, Petronić V, Marković V
Eur Urol. 1975;1(2):81-6.
The incidence of renal tuberculosis has declined slowly in recent years, but its development has also changed. There are silent forms with few symptoms of spread and without very great bladder pain; nevertheless these forms can be very destructive, and even on first presentation may show a destroyed kidney. Our Urological Clinic in Belgrade treated 1,890 patients during a period of 23 years. We cannot incriminate streptomycin or PAS as the only causes of a tendency to fibrosis or for the silent forms of ureteric stenosis. Yet it seems certain that the pathogenesis of the tubercle bacillus changed in different persons under treatment with streptomycin and other antibiotics. The following represents the renal tuberculosis cases we have seen in the Urological Clinic in Belgrade during 1950--1972.
近年来，肾结核的发病率呈缓慢下降趋势，但其发展也有所变化。存在一些隐匿型肾结核，其传播症状较少，且无严重膀胱疼痛；然而，这些类型可能具有很强的破坏性，甚至在首次就诊时就可能显示出肾脏已被破坏。我们位于贝尔格莱德的泌尿外科诊所在23年期间共治疗了1890例患者。我们不能将链霉素或对氨基水杨酸视为导致纤维化倾向或隐匿型输尿管狭窄的唯一原因。然而，在用链霉素和其他抗生素治疗的不同患者中，结核杆菌的发病机制似乎确实发生了变化。以下是我们在1950年至1972年期间于贝尔格莱德泌尿外科诊所所见的肾结核病例情况。
