Definition:
Simply put, renal tuberculosis is the kidney affected by tuberculosis. This is normally because of some haematogenous seeding from pulmonary diseases, although it is secondary to a tuberculous infection of the gastrointestinal tract or bone. By the time this condition is diagnosed, the primary laceration in the lungs might be calcified.
Diagnosis:
The primary test that health care providers may call for is urography. But, the diagnosis can also be done and confirmed using ultrasound, CT scans or MRI scans.
Treatment:
Patients are given antibiotics, particularly antituberculous drugs. Hospitalization may be necessary as a surgical excision can be used as an additional medical theatment.
Symptoms and Signs:
This renal disease may by quite lazy and often present no early symptoms. However, later symptoms may include: kidney inflammation, pyelonephritis, fever, chills, shivering, loss of appetite, weight loss, malaise and kidney pain.
Causes:
Tubercle bacilli (mycobacterium tuberculosis) are found in the urine of patients with extrarenal tuberculosis. These bacteria causes lesions in the glandular and cortical arterioles. It may develop to form necrotizing lesions. Finally, it will lead to an ulceration in the calyx and forms fistulae and strictures. The kidney then becomes fibrotic and scarred.
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