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Paediatrics and International Child Health Volume 41, 2021 - Issue 2
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Case Report

An adolescent girl with obstructive uropathy requiring nephro-ureterectomy was subsequently diagnosed with renal tuberculosis: case report

Özge Kabaa Department of Pediatrics, Division of Pediatric Infectious Disease, Faculty of Medicine, Istanbul University, Istanbul, TurkeyCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-8381-3255View further author information
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Manolya Karaa Department of Pediatrics, Division of Pediatric Infectious Disease, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0001-6234-7024
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Zuhal Bayramoğlub Department of Radiology, Division of Pediatric Radiology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0002-1695-3290
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Emine Çalışkanb Department of Radiology, Division of Pediatric Radiology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0001-9869-1396
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Bilal Çetinc Department of Urology, Division of Pediatric Urology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0002-2618-2258
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Elnur Karimova Department of Pediatrics, Division of Pediatric Infectious Disease, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0003-1997-7076
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Ünsal Özkuvancıc Department of Urology, Division of Pediatric Urology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0002-3533-8816
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Yasemin Özlüke Department of Pathology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0002-7191-0488
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Selda Hançerli Toruna Department of Pediatrics, Division of Pediatric Infectious Disease, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0002-3216-2413
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Zeynep Nagehan Yürük Yıldırımf Department of Pediatrics, Division of Pediatric Nephrology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0003-2891-2231
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Hasan Orhan Ziylanc Department of Urology, Division of Pediatric Urology, Faculty of Medicine, Istanbul University, Istanbul, TurkeyORCID Iconhttps://orcid.org/0000-0001-9900-9301
ORCID Icon &
Ayper Somera Department of Pediatrics, Division of Pediatric Infectious Disease, Faculty of Medicine, Istanbul University, Istanbul, Turkey;d Department of Radiology, Division of Pediatric Radiology, Seyhan State Hospital, Adana, TurkeyORCID Iconhttps://orcid.org/0000-0002-7827-1113
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Pages 154-157 | Received 10 Jul 2019, Accepted 31 Aug 2020, Published online: 29 Sep 2020
 
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ABSTRACT

A 15-year-old girl was followed up for 2 years in a district hospital for management of vesicoureteral reflux and, subsequently, hydronephrosis of both kidneys and required bilateral ureteroneocystostomy. Despite surgery, there was continuous progression of the left hydronephrosis. Referral to a tertiary hospital because of continued sterile pyuria prompted investigation for tuberculosis (TB): she was diagnosed with bilateral pulmonary TB and urine culture confirmed Mycobacterium tuberculosis. Despite tuberculous chemotherapy and dexamethasone, she required a left nephrectomy. Histology demonstrated necrotising granulomatous pyelonephritis. She remains well with normal function of the right kidney. Despite the rarity, chronic urinary tract disorders should always prompt investigation for tuberculosis.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Notes on contributors

Özge Kaba

Özge Kabais a paediatrician with an interest in paediatric infectious diseases. She has been on a paediatric infection fellowship programme at Istanbul University’s Medical Faculty since 2017.

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