Use of Corticosteroids for Urinary Tuberculosis Patients at Risk of Developing Ureteral Obstruction.

Abstract

A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an anti-tuberculosis drug regimen. He had bilateral hydronephrosis, and his right kidney was radiologically diagnosed to be non-functioning. A transurethral catheter was placed in the left ureter. No improvement in the ureteral stricture was noted during the initial three weeks of treatment; however, the stricture did thereafter improve after the commencement of oral prednisolone. In cases of urinary tuberculosis, ureteral stricture can deteriorate and result in ureteral obstruction during anti-tuberculosis treatment. Pre-emptive administration of corticosteroids may be beneficial for preventing such stricture in patients with a pre-existing ureteral lesion.

• Authors: Kosuke Matsui, Akitsugu Furumoto, Kojiro Ohba, Kota Mochizuki, Takeshi Tanaka, Masahiro Takaki, Konosuke Morimoto, Koya Ariyoshi
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) 2016 Vol. 55 Issue 23 Pg. 3539-3542 ISSN: 1349-7235 [Electronic] Japan
• PMID: 27904125 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids

Topics

• Aged
• Glucocorticoids (therapeutic use)
• Humans
• Male
• Tuberculosis, Urogenital (complications, diagnosis)
• Ureteral Obstruction (etiology, prevention & control)