[Pathology of renal tuberculosis (author's transl)].

Abstract

Introduction of specific chemotherapy and vaccination leads to a remarkable recession of renal tuberculosis in the younger age group. Renal tuberculosis is the result of a haematogenous spread of tubercle bacillus. Haematogenous spreading occurs immediately after primary infection, or, in elderly patients, in combination with recurrency of tuberculous foci in lungs and hilar-lymphnodes. Simultaneous metastasis in the skeleton, especially in the vertebrae, are observed in 30%. The incubation period between tuberculous spread and clinical manifestation of renal tuberculosis lasts several years, in the average 5-8 years, for calcareous kidneys it may last as long as 20 years and more, for tuberculous pyelitis only a few months. Today it is possible to treat renal tuberculosis with drugs (Streptomycin, PAS and INH). In 13% the cicatrisation is combined with obstruction of calices and partial hydronephrosis, in 7% with obstruction of the ureter and total hydronephrosis. Early chemotherapy may prevent the development of tuberculous hydronephrosis.

• Authors: E Uehlinger
• Journal: Der Radiologe (Radiologe) Vol. 16 Issue 6 Pg. 220-5 (Jun 1976) ISSN: 0033-832X [Print] Germany
• Vernacular Title: Die pathologische Anatomie der Nierentuberkulose
• PMID: 959506 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged
• Humans
• Hydronephrosis (etiology)
• Kidney (pathology)
• Kidney Cortex (pathology)
• Kidney Cortex Necrosis (etiology)
• Male
• Middle Aged
• Switzerland
• Time Factors
• Tuberculosis, Miliary (pathology)
• Tuberculosis, Renal (complications, drug therapy, epidemiology, pathology)
• Tuberculosis, Spinal (pathology)