RT Book, Section
A1 Dirkx, Tonja C.
A1 Woodell, Tyler
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
SR Print(0)
ID 1166171045
T1 Renal Manifestations of Tuberculosis
T2 Current Medical Diagnosis and Treatment 2020
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260455281
LK accessmedicine.mhmedical.com/content.aspx?aid=1166171045
RD 2022/05/26
AB The  classic  renal  manifestation  of  tuberculosis  is  the  presence  of  microscopic  pyuria  with  a  sterile  urine  culture—or  “sterile  pyuria.”  More  often,  other  bacteria  are  also  present.  Microscopic  hematuria  is  often  present  with  pyuria.  Urine  cultures  are  the  gold  standard  for  diagnosis.  Three  to  six  first  morning  midstream  specimens  should  be  performed  to  improve  sensitivity.  Papillary  necrosis  and  cavitation  of  the  renal  parenchyma  occur  less  frequently,  as  do  ureteral  strictures  and  calcifications.  Adequate  drug  therapy  can  result  in  resolution  of  renal  involvement.