Renal Tuberculosis Presenting as a Mass Lesion in a Two-year-old Girl Report of a rare case
Journal Title: Sultan Qaboos University Medical Journal - Year 2016, Vol 16, Issue 1
Abstract
Genitourinary tuberculosis usually occurs in young adults and the middle-aged and is very uncommon in the paediatric population. It generally presents with haematuria, pyuria, irritative voiding symptoms and flank pain; presentation as a renal mass is highly unusual. We report a two-year-old girl who was referred to the Nil Ratan Sircar Medical College, Kolkata, India, in June 2014 with abdominal pain. Subsequent radiological investigations revealed a left renal hypoechoic mass lesion. A left nephroureterectomy was performed on suspicion of a Wilms’ tumour. Histopathology indicated an epithelioid granuloma with lymphocytic infltration, suggestive of a tubercular aetiology. A Mantoux tuberculin skin test was positive; however, there was no evidence of tuberculosis detected elsewhere in the body and the source of the infection could not be identifed. A diagnosis of renal tuberculosis was made and the child was treated with antitubercular drugs. Te patient was asymptomatic at a six-month follow-up.
Authors and Affiliations
Avradip Santra| Departments of Chest Medicine, Nil Ratan Sircar Medical College, Kolkata, India, Falguni Mandi| Departments of Chest Medicine, Nil Ratan Sircar Medical College, Kolkata, India, Abhishek Bandyopadhyay| Departments of Pathology, Nil Ratan Sircar Medical College, Kolkata, India
Keywords
Related Articles
- EP ID EP14648
- DOI -
- Views 320
- Downloads 13
Vascular Anomalies in Children Misdiagnosed with Asthma Case series
In most asthmatic children, inhaled steroids can relieve and control the symptoms of asthma. Persistent wheezing and respiratory symptoms in young children despite appropriate treatment may indicate other diagnostic co...
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia
We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopic pancreatectomy. The importance of obtaining a good history from the patient and/or his family is stre...
In-vitro activity of synercid and related drugs against Streptococcus oralis isolated from septicaemia and endocarditis cases
– The increase in resistance to gram positive organisms and seriousness of infective endocarditis, makes it necessary to look for an alternate treatment. – In-vitro activity of synercid was compar...
Clinical profile of stroke: The experience at King Abdulaziz University Hospital
Objectives: To determine the pattern and risk factors of stroke in Saudi nationals and non-Saudis, at King Abdulaziz University Hospital (KAUH), in the western province of Saudi Arabia. Method: All cases of stroke admitt...
Removal of Nasogastric Tube Accidentally Stitched to Roux-en-Y Oesophagojejunostomy Following a Radical Gastrectomy for Stomach Cancer
Nasogastric tubes (NGTs) are important for feeding, stenting and decompression after gastrointestinal surgeries, particularly in the upper gastrointestinal tract. Resistance in the removal of a NGT is a rare surgical c...