A neglected case of Genito-urinary tuberculosis; presenting with “Putty” Kidney and “Thimble” bladder

Case report: A neglected case of Genito-urinary tuberculosis; presenting with “Putty” Kidney and “Thimble” bladder

Abstract

Tuberculosis is the most important health care challenge being faced by most developing countries in the 21st century. Tremendous improvements have been made in the diagnosis and treatment of tuberculosis. Considerable resources and effort is being put into making effective and affordable anti-tuberculosis treatment easily access to every patient with tuberculosis. Yet, we came across this patient, who despite being diagnosed with genitor-urinary tuberculosis about 6 years ago refused to take anti-tuberculosis treatment. He ignored all medical advice and took over the counter medications for his symptoms. He presented with advanced renal dysfunction, requiring dialysis. He was found to have advanced genito-urinary tuberculosis with “thimble†bladder, ureteric calcification, non-functioning right kidney and left hydroureteronephrosis. He underwent right nephrectomy and his nephrectomy specimen revealed “putty†kidney. He was eventually started on anti-tuberculosis treatment, with gradual improvement.