Ponnayyan Nirmal Kesavan, Ganapath Aravind Surendran, Ganapathy Venugopal
Department of Urology, Government Medical College, Trivandrum, Kerala, India.
Urol Ann. 2020 Apr-Jun;12(2):107-111. doi: 10.4103/UA.UA_121_19. Epub 2020 Apr 14.
Urologists are confronted with various forms of extrapulmonary tuberculosis (TB) having an atypical presentation. The disease presents late with complications and sequelae. Four cases of extrapulmonary TB who presented to the urology department are reported here. The cases reported are TB adrenalitis, tuberculous cystitis, renal TB, and TB prostatitis. The prsentation of these cases shows GUTB as being a great imitator of other diseases. So there is a need for a very high index of suspicion for early diagnosis and to avoid misdiagnosis to prevent the devastating sequelae like organ damage. Furthermore, there is a need to develop better diagnostic tools for TB. Multidrug chemotherapy and judicious use of surgery form the mainstay of management.
泌尿外科医生面临着各种表现不典型的肺外结核病（TB）。该病出现较晚，伴有并发症和后遗症。本文报告了4例到泌尿外科就诊的肺外结核病例。报告的病例有肾上腺结核、结核性膀胱炎、肾结核和前列腺结核。这些病例的表现表明泌尿生殖系统结核极易被误诊为其他疾病。因此，需要高度怀疑以进行早期诊断，避免误诊，防止出现如器官损害等严重后遗症。此外，还需要开发更好的结核病诊断工具。多药化疗和合理使用手术是治疗的主要手段。
