[Renal tuberculosis disease indicative of Pott's disease].

Autor: Bekhechi W; Service de néphrologie, CHU Tlemcen, Tlemcen, Algérie; Université Abou-Bekr Belkaid Tlemcen, Tlemcen, Algérie. Electronic address: wafaebekhechi@yahoo.fr., Chiali H; Service de radiologie et d'imagerie médicale, Unité IRM, CHU Tlemcen, Tlemcen, Algérie; Université Abou-Bekr Belkaid Tlemcen, Tlemcen, Algérie., Borsali L; Service d'anatomie pathologique, Unité de néphro-pathologie, CHU Tlemcen, Tlemcen, Algérie; Université Abou-Bekr Belkaid Tlemcen, Tlemcen, Algérie., Hamidou RS; Service de néphrologie, CHU Tlemcen, Tlemcen, Algérie; Université Abou-Bekr Belkaid Tlemcen, Tlemcen, Algérie., Benmansour M; Service de néphrologie, CHU Tlemcen, Tlemcen, Algérie; Université Abou-Bekr Belkaid Tlemcen, Tlemcen, Algérie.
Jazyk: francouzština
Zdroj: Nephrologie & therapeutique [Nephrol Ther] 2021 Jun; Vol. 17 (3), pp. 185-189. Date of Electronic Publication: 2021 Feb 06.
DOI: 10.1016/j.nephro.2020.11.003
Abstrakt: Tuberculosisis is a serious desease, causing high morbidity and mortality. It includes frequent extra-pulmonary forms, polymorphic in their clinico-radiological presentation, resultsing in a delayed diagnosis. We report the case of a rare association of renal tuberculosis and Pott's disease. It is the case of a 19-year-old patient. He has two brothers on chronic hemodialysis. He is hospitalized for exploration of a lumbar mass and a cachectic state. Radiological imaging (MRI, scanner) suggests osteosarcoma. The renal biopsy, performed for the nephrotic syndrome, reveals the presence of a granulomatous interstitial infiltration, which suggests a tuberculosis. The anatomo-pathological study, of the excisional piece of the lumbar mass, confirms the diagnosis of tuberculous spondylodiscitis. The clinico-biological evolution, with four antituberculous therapy is favorable, except for the persistence of the glomerular syndrome.
(Copyright © 2021 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE