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泌尿生殖系统结核的诊断困难:一例延迟诊断导致肾切除的病例。

Difficulties in diagnosing genitourinary tuberculosis: A case of delayed diagnosis resulting in nephrectomy.

作者信息

Çoban Ferhat, Koç Mustafa Kemal

机构信息

Adıyaman Unıversity Faculty of Medicine, Department of Urology, Turkey.

出版信息

Urol Case Rep. 2025 Jul 23;62:103136. doi: 10.1016/j.eucr.2025.103136. eCollection 2025 Sep.

Abstract

Genitourinary tuberculosis (GUTB) is a rare infectious disease, yet delays in diagnosis can lead to serious complications. This study presents a case of GUTB in which diagnosis was delayed due to negative conventional laboratory tests, ultimately necessitating nephrectomy at an advanced stage. Initially, the symptoms mimicked a urinary tract infection, which resulted in progressive renal damage. The diagnostic challenges and treatment approaches are discussed in light of the current literature through this case.

摘要

泌尿生殖系统结核(GUTB)是一种罕见的传染病,但诊断延误可能导致严重并发症。本研究报告了一例泌尿生殖系统结核病例,该病例因传统实验室检查结果为阴性而导致诊断延误,最终在疾病晚期不得不进行肾切除术。最初,症状类似尿路感染,导致肾脏进行性损害。通过该病例,结合当前文献对诊断挑战和治疗方法进行了讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81ee/12318259/3927f3f04230/gr1.jpg

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