Rivero-Rodríguez W, Navarro-Mejía JA, Camelo-Pardo G, Ramírez-Angarita DI, Pinzón-Mantilla D

Language: Spanish
References: 10
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ABSTRACT

Introduction. Tuberculosis is responsible for the majority of deaths associated with infectious disease. The main involvement in the lung followed by extrapulmonary genitorurinary location, with a predominance of the kidney, epididymis and prostate respectively. The symptoms are nonspecific, suspected in patients with chronic pathologies or a previous diagnosis of pulmonary tuberculosis. The Gold Standard is the identification of the Bacillus in urine or infrequent techniques such as tuberculin injection. In diagnosed patients, treatment is based on 4 drugs (isoniazid, rifampicin, ethambutol and pyrazinamide) up to combined therapies, the duration of treatment is according to the symptoms and characteristics of the patient.
Objective. We present the case of a young patient with spontaneous renal flare associated with tuberculosis with medical treatment and emergency surgery and multisystemic deterioration associated with hemodynamic shock.
Conclusion. Genitourinary tuberculosis is characterized by a nonspecific clinical picture making timely diagnosis difficult, the symptoms are related to the compromised organ, suspecting in patients with chronic, nutritional and immunodeficiency alterations, being of vital importance a rapid diagnosis and effective treatment evaluating each patient individually. In this report, a patient with multiple antecedents presents a complication of renal tuberculosis not described in the literature, with immediate surgical intervention and deterioration in her clinical evolution.

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