Addison hastalığı ile renal tüberküloz birlikteliği

Abstract

Renal tüberküloz akciğer tüberkülozunun lenfohematojen yayılımı sonucunda gelişir.
Renal tüberkülozun en önemli bulgusu steril pyüridir. Gelişmekte olan ülkelerde Addison hastalığının %10-15’inden tüberküloz hastalığı sorumludur. Tüberküloza bağlı adrenal tutulum bilateral adrenal genişleme, atrofi ve kalsifikasyon şeklinde görülebilir. Mycobacterium tuberculosis komplekse bağlı adrenal bezlerin infeksiyonu hematojen yaylılım sonucu gelişir. Klinik bulguları yıllar sonra belirgin olabilir, asemptomatik infeksiyon oldukça sıktır. Bu yazıda, önceden Addison hastalığı (adrenokortikal yetmezlik) tanısı alan 60 yaşında bir kadın hastada saptanan renal tüberküloz sunuldu .

Keywords

• Addison hastalığı,renal tüberküloz

Renal tuberculosis with Addison's disease

Abstract

Renal tuberculosis is the result of lymphohematogenous spread of pulmonary tuberculosis.

The most important finding of renal tuberculosis is sterile pyuria. Tuberculosis is responsible for 10-15% of Addison's disease in developing countries. Tuberculous adrenal involvement can be seen as bilateral adrenal enlargement, atrophy and calcification. Infection of mycobacterium tuberculosis complex adnexal glands develops hematogenous spreading outcome. Clinical findings may be evident after many years, asymptomatic infection is quite frequent. In this article, a 60-year-old female patient previously diagnosed with Addison's disease (adrenocortical insufficiency) with renal tuberculosis was presented .  

Keywords

• Addison’s disease,renal tuberculosis

References

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