신결핵의 임상적 고찰 = Clinical Features of Renal Tuberculosis in 70 Cases

다국어 초록 (Multilingual Abstract)

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다국어 초록 (Multilingual Abstract)

Tuberculosis is one of the major infectious disease in Korea, despite its prevalence has been falling. In renal Tuberculosis, there are considerable complications at the time of diagnosis, because of the long duration from exposure to onset of symptoms, which are usually non- specific. In spite of antituberculous chemotherapy, complications may progress and cause obstructive uropathy. In order to evaluate the clinical characteristics of the renal tuberculosis, we reviewed 70 cases of renal tuber- culosis who were admitted to the Hallym University haspital between January 1984 and December 1988, and follwing results were obtained. 1) Renal tuberculosis was predominent in 4th and 5th decades, average age was 39.8 years and males predominated in 1.8:l. 2) The most common presenting symptom was gross hematuria (45.7%), the flank pain, dysuria, nocturia, frequency and fever as a constitutional symptoms in that order. 3) Abnormal findings of urinanalysis were observed in 82.9% of cases and azotemia was found in 25.7%. Asymptomatic urinary abnormality was noted in 25.7%. 4) The positive findings of urine AFB staining in 27.1%,, positive urine AFB culture 5.7%, and 34.3% of cases showed characteristic histopathologic findings. Abnormal urographic findings were seen in 98.5%, and the left kidney was affected predominently (41.5%). 5) Previous extrarenal tuberculosis was noted in 42. 3% and its average duration was 9.3 years. Active extrarenal tuberculosis was associated in 14.3% of cases. 6) The most common complication was hydronephrosis and hydroureter (44.3%), then stone, and secondary infection in that order. 7) Among 6 azotemic patients who were followed more than 3 months after treatment, serum creatinine clearence level was decreased in 5 patients.