Open Access Journal of Urology & Nephrology (OAJUN)

ISSN: 2578-4676

Research Article

A Glimpse into the Clinical Profile and Diagnostic Difficulties Encountered in the Evaluation of Genitourinary TB

Authors: Bhattacharjee K*, Agrawal A and Roy S

DOI: 10.23880/oajun-16000170

Abstract

Background: Tuberculosis is a major health problem in world and more so in a developing nation like India. As mentioned in the Global TB report 2017 the estimated incidence of TB in India was approximately 280,000 accounting for a huge burden. Genitourinary tuberculosis (GUTB) is a global disease which shows a more destructive behavior especially in the developing countries. Aims and Objectives: To evaluate the clinical profile of GUTB patients and determine the typical and atypical presenting clinical features. Materials and Methods: The study was a prospective observational study that included 28 patients of GUTB and done over a period of 36 months from 1st July 2016 to 30th June 2019. A detailed history regarding symptoms of TB, past history as well as family history of pulmonary tuberculosis was recorded and a thorough clinical examination performed. The necessary laboratory investigations were done in all the patients. Results and Observations: There was a male preponderance in the incidence of GUTB and the most common clinical presentation was fever. The most common organ affected by GUTB was kidney. Conclusion: Genitourinary Tuberculosis is a common cause of extra-pulmonary tuberculosis with a potential to cause significant morbidity. As it presents with non-specific vague symptoms, a high index of clinical suspicion is necessary to make a diagnosis of GUTB.

Keywords: GUTB; TB; Clinical Presentation; Global Disease; High Index; Clinical Suspicion; Significant Morbidity; Vague Symptoms

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