Gupta Sandeep, R Santhosh, Meitei Kangjam Sholay, Singh Sinam Rajendra
Senior Resident, Post doctoral (Mch) Trainee, Department of Urology, RIMS , Imphal, India .
J Clin Diagn Res. 2013 May;7(5):927-9. doi: 10.7860/JCDR/2013/5570.2979. Epub 2013 Mar 20.
Urolithiasis leading to renal failure is a very common occurrence. But if the patient is co-infected with genitourinary tuberculosis, then it becomes all the more unusual and challenging, especially if the patient is immunocompetent. This patient, who presented to us with bilateral urolithiasis and features of renal failure, underwent left nephrectomy after thorough investigations. The biopsy revealed features of renal tuberculosis. The patient was put on anti-tubercular therapy (ATT) and later, he underwent right ureteroscopic lithotripsy. He completed his course of ATT and is on regular follow-up. His serum creatinine also stabilised with regular hemodialysis. The main aim of this case report is to bring to light this unusual and interesting presentation of bilateral urolithiasis with genito-urinary TB presenting as renal failure, which was successfully managed.
尿路结石导致肾衰竭是非常常见的情况。但如果患者合并泌尿生殖系统结核感染，那么情况就变得更加罕见且具有挑战性，尤其是当患者免疫功能正常时。这位因双侧尿路结石和肾衰竭症状前来就诊的患者，在经过全面检查后接受了左肾切除术。活检显示有肾结核特征。患者开始接受抗结核治疗（ATT），之后又接受了右输尿管镜碎石术。他完成了抗结核治疗疗程并接受定期随访。通过定期血液透析，他的血清肌酐也趋于稳定。本病例报告的主要目的是揭示这种以肾衰竭为表现的双侧尿路结石合并泌尿生殖系统结核的罕见且有趣的病例，该病例得到了成功治疗。
