Wong Nathan, Hoag Nathan A, Jones Edward C, Rowley Allen, McLoughlin Martin G, Paterson Ryan F
University of British Columbia, Department of Urologic Sciences, Gordon & Leslie Diamond Health Care Centre, Vancouver, BC;
Can Urol Assoc J. 2013 May-Jun;7(5-6):E363-6. doi: 10.5489/cuaj.1219.
The genitourinary tract is a common extrapulmonary site of tuberculosis infection, yet remains a rare clinical entity in North America. We report the case of a 37-year-old man who presented for extracorporeal shock wave lithotripsy for a suspected ureteral stone on imaging. Further workup confirmed a diagnosis of genitourinary tuberculosis. Medical management was undertaken and, ultimately, nephrectomy performed. This case highlights the importance of maintaining a high index of clinical suspicion for genitourinary tuberculosis.
泌尿生殖道是结核感染常见的肺外部位，但在北美仍然是一种罕见的临床病症。我们报告了一例37岁男性病例，该患者因影像学检查怀疑输尿管结石而前来接受体外冲击波碎石术。进一步检查确诊为泌尿生殖道结核。进行了药物治疗，最终实施了肾切除术。该病例强调了对泌尿生殖道结核保持高度临床怀疑的重要性。
