Clinical and Bacteriological Studies on Renal Tuberculosis.
- Author:
Jee Wha KIM
1
Author Information
1. Department of Urology, Kyungpook University, School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
renal tuberculosis
- MeSH:
Cycloserine;
Female;
Gyeongsangbuk-do;
Hematuria;
Humans;
Incidence;
Lung;
Male;
Proteinuria;
Pyuria;
Sex Distribution;
Tuberculosis;
Tuberculosis, Pleural;
Tuberculosis, Renal*;
Urination
- From:Korean Journal of Urology
1971;12(4):333-340
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Clinical study was made on 102 cases of renal tuberculosis who visited the urological department, Kyungpook University Hospital during the 4 year period from July. 1951 to June, 1970. Fourteen cases were chosen at random, and culture and sensitivity test for tuberculous bacilli were performed. Results: 1. Incidence of renal tuberculosis patients tended to decrease from 2.22% of 1966 to 19. 3% of 1970. 2. Age and sex distribution showed that 31 cases (30. 3%) were in 20 ~ 29 years, 27(26. 5%) in 30 ~ 39, 17 (16.7%) in 10 ~ 19. Regarding the sex, 69 cases (57.8%) were male and 43 cases (42.2%) were female. 3.48.8% of the cases visited the hospital within 3 months to one year after the onset of symptoms 4. Initial symptom was mostly those of vesical symptom and hematuria. Hematuria in 64.7%. frequency in 53.9%, pain on urination in 36.3%. 5.38 cases (37.3%) were affected in right, 35 (34.3%) in left, and 27 (26.5%) in both sides. 6. Urinary findings revealed pyuria in 84 cases (82.4%), hematuria in 79 cases (77.4%), proteinuria in 87 cases (86.3%). 7. Tuberculous bacilli were found by staining only in 42.2%. Patient who have had a previous anti-tuberculous treatment were found to be positive staining in only 25% and those who have not were to be 47.5%. 8. The pyelogram showed that 50% of the cases with unilateral lesions were in far advanced, 12% in moderately advanced, while 70% of the cases with bilateral lesions in far advanced changes. 9. Other tuberculous lesions were found in 32. 3% cases of which 27.7% had genital tuberculosis 25% tuberculous pleurisy, and 22.2% lung tuberculosis. 10.14 cases (70%) were found positive in culture for tuberculous bacilli 11. Drug sensitivity test was carried out in 14 cases among which resistance was shown to SM in 3 cases at 100 r to INH in 3 cases at 0.1 r and to cycloserine in 12 cases at 10 r however, there was no resistant strain to PAS.