Monir Hossain1, Hena Khatun2, Raihanuzzaman sarkar1, Md Khairul Hassan Jessy3,Krishna Chandra Ganguly3

Abstract
Tuberculosis or TB (tubercle bacillus) remains a major public health problem in developing countries
like Bangladesh. The urogenital localization represents extra-pulmonary localizations of TB and may
be due either to a disseminated infection or to a primitive genitourinary localization. The majority of
patients have pyuria, sometimes with hematuria. The diagnosis of urinary tuberculosis is based on the
finding of pyuria in the absence of infection by common bacteria. Our patient presented with fever,
increased frequency of micturition, anorexia. Plenty pus cells were found on several occasions in urine
routine and microscopic examination. S.creatinine was increased and creatinine clearance was reduced.
Radio isotope renogram was done and estimated GFR of both kidneys were reduced. There was faint
opacification on collecting system and ureter in Intravevous urography. MT was 19 mm. Mycobacterium
tuberculosis DNA was detected in urine for Gene X-pert MTB/RIF. Renal TB was diagnosed and anti-
TB treatment was initiated.
Keywords:Renal Tuberculosis, granuloma.
Abbreviations: MT: Mantoux test, GFR:Glomerular filtration rate, DNA:Deoxyribonucleic acid, ESRD:End
stage renal disease, ANA:Anti nuclear antibody.

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