Presentation of case report: Spontaneous Renal outbreak due to tuberculosis

Abstract

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.