Clinical, laboratory, radiographic manifestations of Genitourinary TB

Clinical Manifestations Most Common Findings 1 – flank pain – dysuria (nonspecific vesical symptoms) – hematuria (microscopic or macroscopic) – urinary frequency – Nocturia – malaises/fatigue – stomach pain – urgency and incontinence – night sweats – scrotal mass – abdominal mass – leakage of urine – cough with or without bloody sputum Constitutional symptoms of weight loss, fatigue, and anorexia were less common. 2 1 Gokce, G., Kilicarslan, H., Ayan, S., Tas, F., Akar, R., Kaya, K., et al. (2002). Genitourinary tuberculosis: A review of 174 cases. Scandinavian Journal of Infectious Disease, 34, Gibson, M.S., Puckett, M.L., & Shelly, M.E. (2004). Renal tuberculosis. RadioGraphics, 24,

Clinical Manifestations Most Common Physical Findings – tenderness over the costovertebral angle – low-grade fever Less-common physical findings – palpable kidney – Hypertension – tenderness in the suprapubic region – thickened epididymis – urethral stricture – scrotal fistula – vesicovaginal fistula. While it is important to understand that local urinary symptoms may be predominant, the client may be completely asymptomatic until large granulomas have formed within the kidney. 1 Gokce, G., Kilicarslan, H., Ayan, S., Tas, F., Akar, R., Kaya, K., et al. (2002). Genitourinary tuberculosis: A review of 174 cases. Scandinavian Journal of Infectious Disease, 34,

Clinical Manifestations Int Urol Nephrol. 2009;41(2): Epub 2008 Jul 22. Figueiredo AA, Lucon AM, Júnior RF, Ikejiri DS, Nahas WC, Srougi M Urogenital tuberculosis in immunocompromised patients. OBJECTIVE: Compare the clinicoradiological presentation of urogenital tuberculosis (UGT) between immunocompromised and nonimmunocompromised patients. CONCLUSIONS: UGT has a different clinicoradiological presentation in immunocompromised patients, with predominance of systemic symptoms, disseminated tuberculosis, multiple parenchymatous renal foci, and lower frequency of lesions of the collecting system. In the context of immunosuppression, UGT behaves as a severe bacterial infection, with bacteremia and visceral metastatic foci.