1. Japanese Society of Internal Medicine
- Author
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Matsui, Kosuke, Furumoto, Akitsugu, Ohba, Kojiro, Mochizuki, Kota, Tanaka, Takeshi, Takaki, Masahiro, Morimoto, Konosuke, and Ariyoshi, Koya
- Subjects
Ureteral stricture ,urogenital system ,Urinary tuberculosis ,Corticosteroid ,urologic and male genital diseases ,female genital diseases and pregnancy complications - Abstract
A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an antituberculosis drug regimen. He had bilateral hydronephrosis, and his right kidney was radiologically diagnosed to be non-functioning. A transurethral catheter was placed in the left ureter. No improvement in the ureteral stricture was noted during the initial three weeks of treatment; however, the stricture did thereafter improve after the commencement of oral prednisolone. In cases of urinary tuberculosis, ureteral stricture can deteriorate and result in ureteral obstruction during anti-tuberculosis treatment. Pre-emptive administration of corticosteroids may be beneficial for preventing such stricture in patients with a pre-existing ureteral lesion.
- Published
- 2016