Chang A B, Grimwood K, Hutson J M, Jones C L
Department of Thoracic Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Paediatr Child Health. 1998 Jun;34(3):293-5. doi: 10.1046/j.1440-1754.1998.00219.x.
This report describes a case of renal tuberculosis, complicated by hypertension and ureteric obstruction, in a previously well Australian born child. Despite antituberculous chemotherapy and ureteric stenting, there was a progressive loss of renal function in the right kidney until surgical nephrectomy allowed full recovery. A high level of clinical suspicion is necessary for a diagnosis of genitourinary tuberculosis. Ureteric cicatrisation and obstruction occasionally may occur with healing, and therefore serial renal tract imaging during treatment is necessary to detect this complication.
本报告描述了一例出生于澳大利亚、此前健康的儿童肾结核病例，该病例并发高血压和输尿管梗阻。尽管进行了抗结核化疗和输尿管支架置入术，但右肾功能仍逐渐丧失，直至手术切除肾脏后才完全恢复。对于泌尿生殖系统结核的诊断，高度的临床怀疑是必要的。愈合过程中偶尔可能会出现输尿管瘢痕形成和梗阻，因此治疗期间需要进行系列泌尿系统影像学检查以发现这一并发症。
