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
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