Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report

Sam Hassan; Ali Hassan Abro

doi:doi:10.11648/j.ajp.20180402.11

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Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report

Sam Hassan, Ali Hassan Abro

Published in American Journal of Pediatrics (Volume 4, Issue 2)

Received: 11 March 2018 Accepted: 9 April 2018 Published: 14 May 2018

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Abstract

Tuberculosis remains an important public health problem, especially in developing countries. Mycobacterium Tuberculosis mainly affects the lungs but extra-pulmonary Tuberculosis is not uncommon. However, renal involvement is very rare particularly in paediatric age group. This article is reporting a case of 14 years old Emirati boy who presented with history of fever, mild cough and night sweats after admission. The patient was treated as a case of fever of unknown origin, most likely secondary to community acquired pneumonia. On further investigations, he was found to have pulmonary tuberculosis with miliary pattern of the both lungs and also renal tuberculosis as the urine culture grew Acid Fast Bacilli (AFB) (Mycobacterium Tuberculosis). The patient responded very well to the Anti-tuberculosis treatment and became symptom free.

Published in	American Journal of Pediatrics (Volume 4, Issue 2)
DOI	10.11648/j.ajp.20180402.11
Page(s)	21-24
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Mycobacterium, Renal Tuberculosis, Pulmonary Tuberculosis, PUO

References

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[3]	Elizabeth DFD, Geraldo BdSJ and Elvino JGB. Review; Renal Tuberculosis in the Modern Era. Am. J. Trop. Med. 2013; 88(1):54-64.
[4]	Arora N, Saha A and Kaur M; Tuberculosis pyelonephritis in children: three case reports; J Paediatrics and International Child Health; 2017; 37 (4): 292–297.
[5]	Estwood JB, Corbishley CM, Grange JM. Tuberculosis and the Kidney. J Am Doc Nephrol 2001; 12: 1307-1314.
[6]	Muttarak M, ChiangMai WN, Loranapiwat B. Tuberculosis of the genitourinary tract: Imaging features with pathological correlation. Singapore Med J 2005; 46: 568-574.
[7]	Yadav S, Singh P, Hemal A, and Kumar R; Gental tuberculosis: current status of diagnosis and management; Transl Androl Urol; 2017: 6(2): 222-233; doi: 10.21037/tau.2016.12.04.
[8]	Gambhir S, Ravina M, Rangan K, Dixti M, Barai S, Bomanji J; Imaging in extrapulmonary tuberculosis; International J of infectious diseases; 2017; 56: 237 – 247.
[9]	[9] Figueirdo AA, Lucon AM, Arvellos AN, Ramos CO, Toledo AC, Falci R Jr, Gomes CM, Recaverren FE, Netto JM, Srougi M. A better understanding of urogenital tuberculosis pathophysiology based on radiological findings. Eur J Radiol 2010; 76: 246-257.
[10]	Dodd JP, Yuen C M; The global burden of tuberculosis mortality in children: a mathematical modelling study; Lancet Glob Health, 2017; 5(9): e898-e906; doi: 10.1016/S2214-109X(17)30289-9
[11]	Ruhil K, Saif Q, Arun V. Renal Tuberculosis: The Engima Continues. Mycobact Dis 2015; 5(3): 186-192.
[12]	Rom WN, Garay S. Tuberculosis. W. B Sauders, USA. 2000; 47: 609-16.
[13]	Matsumura N, Yamamoto K, Hirohashi R, Kitano S. Renal tuberculosis mimicking hydronephrosis. Intern Med 2005; 44 (7): 768.
[14]	Krishnamorthy s, Pakaniyandi V, Kumaresan N, Govindaraju S, Rajasekaran J, Murugappan I, Ramanan V, and Krishnan M N; Aspects of Evolving Genito Urinary Tuberculosis-A Profile of Genito Urinary Tuberculosis (GUTB) in 110 Patients; J Clin Diagn Res. 2017; 11(9): PC01–PC05.
[15]	Published online 2017. doi:10.7860/JCDR/2017/25882.10557.

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APA Style

Sam Hassan, Ali Hassan Abro. (2018). Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. American Journal of Pediatrics, 4(2), 21-24. https://doi.org/10.11648/j.ajp.20180402.11

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ACS Style

Sam Hassan; Ali Hassan Abro. Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. Am. J. Pediatr. 2018, 4(2), 21-24. doi: 10.11648/j.ajp.20180402.11

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AMA Style

Sam Hassan, Ali Hassan Abro. Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. Am J Pediatr. 2018;4(2):21-24. doi: 10.11648/j.ajp.20180402.11

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@article{10.11648/j.ajp.20180402.11,
  author = {Sam Hassan and Ali Hassan Abro},
  title = {Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report},
  journal = {American Journal of Pediatrics},
  volume = {4},
  number = {2},
  pages = {21-24},
  doi = {10.11648/j.ajp.20180402.11},
  url = {https://doi.org/10.11648/j.ajp.20180402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20180402.11},
  abstract = {Tuberculosis remains an important public health problem, especially in developing countries. Mycobacterium Tuberculosis mainly affects the lungs but extra-pulmonary Tuberculosis is not uncommon. However, renal involvement is very rare particularly in paediatric age group. This article is reporting a case of 14 years old Emirati boy who presented with history of fever, mild cough and night sweats after admission. The patient was treated as a case of fever of unknown origin, most likely secondary to community acquired pneumonia. On further investigations, he was found to have pulmonary tuberculosis with miliary pattern of the both lungs and also renal tuberculosis as the urine culture grew Acid Fast Bacilli (AFB) (Mycobacterium Tuberculosis). The patient responded very well to the Anti-tuberculosis treatment and became symptom free.},
 year = {2018}
}

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TY  - JOUR
T1  - Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report
AU  - Sam Hassan
AU  - Ali Hassan Abro
Y1  - 2018/05/14
PY  - 2018
N1  - https://doi.org/10.11648/j.ajp.20180402.11
DO  - 10.11648/j.ajp.20180402.11
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 21
EP  - 24
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20180402.11
AB  - Tuberculosis remains an important public health problem, especially in developing countries. Mycobacterium Tuberculosis mainly affects the lungs but extra-pulmonary Tuberculosis is not uncommon. However, renal involvement is very rare particularly in paediatric age group. This article is reporting a case of 14 years old Emirati boy who presented with history of fever, mild cough and night sweats after admission. The patient was treated as a case of fever of unknown origin, most likely secondary to community acquired pneumonia. On further investigations, he was found to have pulmonary tuberculosis with miliary pattern of the both lungs and also renal tuberculosis as the urine culture grew Acid Fast Bacilli (AFB) (Mycobacterium Tuberculosis). The patient responded very well to the Anti-tuberculosis treatment and became symptom free.
VL  - 4
IS  - 2
ER  -

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Author Information

Sam Hassan

Department of Paediatrics, Mediclinic City Hospital, Dubai, United Arab Emirates
Ali Hassan Abro

Infectious Diseases Unit, Rashid Hospital, Dubai, United Arab Emirates

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APA Style

Sam Hassan, Ali Hassan Abro. (2018). Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. American Journal of Pediatrics, 4(2), 21-24. https://doi.org/10.11648/j.ajp.20180402.11

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ACS Style

Sam Hassan; Ali Hassan Abro. Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. Am. J. Pediatr. 2018, 4(2), 21-24. doi: 10.11648/j.ajp.20180402.11

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AMA Style

Sam Hassan, Ali Hassan Abro. Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report. Am J Pediatr. 2018;4(2):21-24. doi: 10.11648/j.ajp.20180402.11

Copy | Download

@article{10.11648/j.ajp.20180402.11,
  author = {Sam Hassan and Ali Hassan Abro},
  title = {Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report},
  journal = {American Journal of Pediatrics},
  volume = {4},
  number = {2},
  pages = {21-24},
  doi = {10.11648/j.ajp.20180402.11},
  url = {https://doi.org/10.11648/j.ajp.20180402.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20180402.11},
  abstract = {Tuberculosis remains an important public health problem, especially in developing countries. Mycobacterium Tuberculosis mainly affects the lungs but extra-pulmonary Tuberculosis is not uncommon. However, renal involvement is very rare particularly in paediatric age group. This article is reporting a case of 14 years old Emirati boy who presented with history of fever, mild cough and night sweats after admission. The patient was treated as a case of fever of unknown origin, most likely secondary to community acquired pneumonia. On further investigations, he was found to have pulmonary tuberculosis with miliary pattern of the both lungs and also renal tuberculosis as the urine culture grew Acid Fast Bacilli (AFB) (Mycobacterium Tuberculosis). The patient responded very well to the Anti-tuberculosis treatment and became symptom free.},
 year = {2018}
}

Copy | Download

TY  - JOUR
T1  - Renal Tuberculosis in a 14-Years-Old Boy Presented as Pyrexia of an Unknown Origin (PUO): A First Case Report
AU  - Sam Hassan
AU  - Ali Hassan Abro
Y1  - 2018/05/14
PY  - 2018
N1  - https://doi.org/10.11648/j.ajp.20180402.11
DO  - 10.11648/j.ajp.20180402.11
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 21
EP  - 24
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20180402.11
AB  - Tuberculosis remains an important public health problem, especially in developing countries. Mycobacterium Tuberculosis mainly affects the lungs but extra-pulmonary Tuberculosis is not uncommon. However, renal involvement is very rare particularly in paediatric age group. This article is reporting a case of 14 years old Emirati boy who presented with history of fever, mild cough and night sweats after admission. The patient was treated as a case of fever of unknown origin, most likely secondary to community acquired pneumonia. On further investigations, he was found to have pulmonary tuberculosis with miliary pattern of the both lungs and also renal tuberculosis as the urine culture grew Acid Fast Bacilli (AFB) (Mycobacterium Tuberculosis). The patient responded very well to the Anti-tuberculosis treatment and became symptom free.
VL  - 4
IS  - 2
ER  -

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