Öz
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 .
Anahtar Kelimeler
Kaynakça
- 1. Fitzgerald DW, Sterling TR, Haas DW. Mandell ,Douglas and Bennett’s Priciples and Practice of Infectious Disease, Eight Edition, Philadelphia: Elsevier Churchill Livingstone ,2815-16.
- 2. Sanches I, Pinto C, Sousa M, Carvalho A, Duarte R, Pereira M. Urinary tuberculosis: serious complications may occur when diagnosis is delayed.. Acta Med Por. 2015; 28: 382-85.
- 3. Altıparmak MR, Trabulus S, Balkan II, Yalin SF, Denizli N, Aslan G, Doruk HE, Engin A. Urinary tuberculosis: a cohort of 79 adult cases. Ren Fail 2015; 37: 1157-63.
- 4. Tonbul HZ, Altıntepe L, Selçuk Y, Özbey I, Odabaş AR, Çetinkaya R, Biçki O. Üriner Tüberkülozlu 24 Olguya Ait Klinik Özellikler. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2012; 11: 218-22.
- 5. Dabrowska A, Tarach J, Prystupa A, Kurowska M. Addison’s diseasee due to tuberculosis of the adrenal glands. Journal of Pre-Clinical and Clinical Research 2012; 6: 88-92.
- 6.Lam KY, LoCY. A critical examination of adrenal tuberculosis and a 28-year autopsy. Clin Endocrinol 2001; 54: 633-39.
- 7. Engel WJ, Graves RS, Schneider RW. Renal tuberculosis with Addison's disease. J Urol 1951; 66: 735-39.
- 8.Serter R, Koç G, Demirbaş B, Culha C, Öngoren AU, Üstün H, Aral Y. Acute adrenal crisis together with unilateral adrenal mass caused by isolated tuberculosis of adrenal gland. Endocr Pract 2003; 9: 157-61.
Öz
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 .
Anahtar Kelimeler
Kaynakça
- 1. Fitzgerald DW, Sterling TR, Haas DW. Mandell ,Douglas and Bennett’s Priciples and Practice of Infectious Disease, Eight Edition, Philadelphia: Elsevier Churchill Livingstone ,2815-16.
- 2. Sanches I, Pinto C, Sousa M, Carvalho A, Duarte R, Pereira M. Urinary tuberculosis: serious complications may occur when diagnosis is delayed.. Acta Med Por. 2015; 28: 382-85.
- 3. Altıparmak MR, Trabulus S, Balkan II, Yalin SF, Denizli N, Aslan G, Doruk HE, Engin A. Urinary tuberculosis: a cohort of 79 adult cases. Ren Fail 2015; 37: 1157-63.
- 4. Tonbul HZ, Altıntepe L, Selçuk Y, Özbey I, Odabaş AR, Çetinkaya R, Biçki O. Üriner Tüberkülozlu 24 Olguya Ait Klinik Özellikler. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2012; 11: 218-22.
- 5. Dabrowska A, Tarach J, Prystupa A, Kurowska M. Addison’s diseasee due to tuberculosis of the adrenal glands. Journal of Pre-Clinical and Clinical Research 2012; 6: 88-92.
- 6.Lam KY, LoCY. A critical examination of adrenal tuberculosis and a 28-year autopsy. Clin Endocrinol 2001; 54: 633-39.
- 7. Engel WJ, Graves RS, Schneider RW. Renal tuberculosis with Addison's disease. J Urol 1951; 66: 735-39.
- 8.Serter R, Koç G, Demirbaş B, Culha C, Öngoren AU, Üstün H, Aral Y. Acute adrenal crisis together with unilateral adrenal mass caused by isolated tuberculosis of adrenal gland. Endocr Pract 2003; 9: 157-61.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Haziran 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 10 Sayı: 2 |
Kaynak Göster
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