TUBERCULOSE RENAL: RELATO DE CASO.

Tuberculosis (TB) is an important worldwide health problem. It can be divided into pulmonary and extrapulonary forms, with the genitourinary tract being a common site of extrapulmonary TB. Renal impairment may be due to the hematogenous spread of infection or localized genitourinary disease. Objective: To describe a case report of an adult female patient with renal failure due to renal tuberculosis undergoing hemodialysis. Case report: A 57-year-old female patient, 30 years ago presented with urinary symptoms, evening fever and weight loss, already being treated for recurrent urinary tract infections, without improvement. It was requested urinalysis, which presented intense pyuria and negative urine culture. Excretory urography was performed, which revealed parenchymal destruction, hydronephrosis with signs of structural distortion of the kidney and spastic bladder. In addition, a positive Bacillus Alcohol-Acid Resistance (BAAR) study was carried out in the urine, establishing a diagnosis of tuberculosis in the urinary tract. It was initiated therapy with Rifampicin, Isoniazid and Pyrazinamide, with symptomatic improvement. However, left nephrectomy was performed to correct refractory arterial hypertension, progressing to renal failure requiring hemodialysis. Conclusion: Renal tuberculosis presents a challenging diagnosis for the various medical specialties, since its manifestation and severity diverge individually. The typical symptoms of pulmonary tuberculosis are not frequent when there is renal involvement. Therefore, early diagnosis allows intervention in the evolution of the disease, avoiding possible complications. [ABSTRACT FROM AUTHOR]