Urinary tuberculosis: still a challenge

2020 ◽  
Vol 38 (11) ◽  
pp. 2693-2698 ◽  
Author(s):  
Ali Mert ◽  
Vahit Guzelburc ◽  
Selcuk Guven
Keyword(s):  
BMJ ◽  
1932 ◽  
Vol 1 (3711) ◽  
pp. 350-350
Author(s):  
E. F. Buzzard
Keyword(s):  

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Abdul Haseeb Wani ◽  
Arshed Hussain Parry ◽  
Imza Feroz ◽  
Majid Jehangir ◽  
Masarat Rashid

Abstract Background Endometrial osseous metaplasia (EOM) is an uncommon condition characterised by metaplastic transformation of endometrial tissue into osteoblasts (mature or immature bone in the endometrium). Etiopathogenesis of EOM is explained by multiple putative mechanisms like dystrophic calcification, metaplastic ossification, retained foetal bones after abortions and genito-urinary tuberculosis. EOM has varied clinical presentation ranging from patient being asymptomatic to secondary infertility. Although hysteroscopy is the gold standard for its diagnosis and treatment, non-invasive imaging comprising chiefly of ultrasonography (USG) is increasingly becoming the mainstay of diagnosis. We aim to present the imaging findings in EOM to acquaint radiologists and gynaecologists with this condition to avert misdiagnosis of this uncommon yet treatable cause of infertility. Results Mean age of patients was 31.4 ± 5.4 (S.D) years. USG revealed linear or tubular densely echogenic endometrium with posterior acoustic shadowing in all the 14 patients. MRI in 3 patients revealed diffuse or patchy areas of T1W and T2W hypointense signal intensity with unilateral (n = 2) and bilateral (n = 1) ovarian cysts. One patient who underwent CT scan revealed dense endometrial calcification. Histopathologic examination (HPE) revealed lamellar (n = 6) or trabecular (n = 4) bone within endometrium (EOM) and inflammatory cells with calcification in four patients (calcific endometritis). Twelve patients conceived after dilatation and curettage within 15 months. Conclusion Familiarity with the imaging appearances of EOM is indispensable to clinch this diagnosis and avert misdiagnosis of this rare but potentially treatable cause of infertility. USG is usually sufficient for diagnosis. MRI and CT are only supplementary tools in difficult clinical scenarios.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Bhavani Manivannan ◽  
Niranjana Mahalingam ◽  
Sudhir Jadhao ◽  
Amrita Mishra ◽  
Pravin Nilawe ◽  
...  

We present the draft genome assembly of an extensively drug-resistant (XDR) Pseudomonas aeruginosa strain isolated from a patient with a history of genito urinary tuberculosis. The draft genome is 7,022,546 bp with a G+C content of 65.48%. It carries 7 phage genomes, genes for quorum sensing, biofilm formation, virulence, and antibiotic resistance.


1951 ◽  
Vol 26 (9) ◽  
pp. 393-405 ◽  
Author(s):  
T. J. D. Lane
Keyword(s):  

The Lancet ◽  
1911 ◽  
Vol 178 (4607) ◽  
pp. 1735-1736
Author(s):  
David Newman

1937 ◽  
Vol 30 (12) ◽  
pp. 1429-1444
Author(s):  
James Carver

Early and reliable diagnosis is obtained by cultural methods. Pyelographic evidence of renal destruction is necessary as a rule to supplement the positive laboratory findings before resorting to nephrectomy. Bilateral renal tuberculosis should not be diagnosed on the findings of cystoscopy alone. Nephro-ureterectomy is the ideal operation. It prevents the prolongation of the bladder symptoms and the breaking-down of the operation wound and the risk of another operation for the removal of the ureter, not forgetting the danger of infection of the other kidney. Bad results are probably due, in the case of poor patients, to economic and sociological factors which interfere with restoration to health after operation. Genito-urinary tuberculosis is to be regarded not as a localized disorder but as a manifestation of a generalized disease, a fact which necessitates a guarded prognosis and prolonged after-treatment.


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