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KMID : 0880520130490010048
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Chonnam Medical Journal
2013 Volume.49 No. 1 p.48 ~ p.49
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Gross Hematuria Associated with Genitourinary Tuberculosis
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Bae Eun-Hui
Heo Suk-Hee
Kim Yeong-Hui
Hwang In-Sang
Choi Joon-Seok
Kim Chang-Seong
Ma Seong-Kwon
Kim Soo-Wan
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Abstract
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A 27-year-old man presented to the emergency department with sudden onset of massive gross hematuria and urinary retention. Contrast-enhanced computed tomography imaging showed uneven, dilated calices and a narrowing of the renal pelvis in the left kidney; in addition, a large hematoma was noted in the urinary bladder. An emergency cystoscopy was performed following detection of the hematoma and blood clots were removed. A lesional biopsy, a tuberculosis (TB) culture, and urine cytology showed positive results for Mycobacterium tuberculosis. The clinical manifestations of genitourinary tuberculosis are nonspecific and are usually detected at a chronic stage. In conclusion, we report an unusual cause of acute kidney injury associated with a subacute stage of genitourinary tuberculosis that caused mucosal erosion and bleeding in the bladder.
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KEYWORD
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Tuberculosis, Acute kidney injury, Hematuria
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