Tuberculosis of urinary system

The symptomology. Tuberculosis kidney is often accompanied by the defeat of the bladder, manifested mainly frequent, painful urination, an uncontrollable urge to it (sometimes up to 80-100 times a day). So every patient suffering from chronic cystitis, be subject to the detailed survey aimed to identify or eliminate tuberculosis nature of suffering.
The symptoms associated with the disease process in the Bud, are observed less frequently. Dull pain in kidney arise in cases where fibrous capsule, which incorporated a large number of sensitive nerve endings, involved in the process or is stretched when increasing the size of the kidney. Acute pain type renal colic can be caused by obstruction of the ureter cheesy masses, pieces necrotic renal tissue, blood clots, and by edema and swelling of the mucosa in the area of the mouth of the ureter or vesicoureteral reflux.
The temperature at a tuberculosis of kidneys in most cases, normal, or low-grade.
The reaction of urine at a tuberculosis of the kidneys, as a rule, firmly and strongly acidic. One of the earliest and fixed characteristics of tuberculosis is pestilentia albuminuria. The amount of protein rarely exceeds 1 PPT.
In the early period of the disease when in the kidney has a single undecayed tubercles in the urine leukocytes are already found, albeit in small quantities, which is the result of reactive inflammation on the periphery of the bumps. When the focus of caseosa or the cavern breaks into the pelvis or a Cup, the number of cells increases, becomes cloudy urine, and in advanced cases sharply purulent. Pyuria is the earliest and most frequent symptom of the disease.
In recent years, often meet patients which have influenced chemotherapy urine for several months and even years does not contain white blood cells, although the process in the kidney only stalled but not completely eliminated. It is manifested by recurrent piuria, disappearing again after the next course of treatment.
Source hematuria tuberculosis urinary system can serve as the kidney and bladder. Gross hematuria is often renal, rarely gallbladder origin. The reason abundant renal bleeding in early stage disease is pitting papilla kidneys. Hematuria gallbladder origin - total or terminal - often accompanied by dysuria. Approximately 10-15% of cases of tuberculosis urinary system runs atypical, manifesting itself or renal colic or septic effects.
Diagnostics. Long dysuria unclear origin, pyuria or hematuria, especially in patients suffering from tuberculosis of the lungs, bones, genitals, or in patients with tuberculosis in history should be thoroughly examined for TB urinary system.
However, with confidence diagnosis of tuberculosis of the kidneys may be effected only on the basis of at least one of the three specific characteristics: 1) the presence of TB bacteria in urine sediment, 2) typical for tuberculosis zitostaticescoy picture or 3) characteristic paleographically picture. So if diagnosed main attention is paid to the study of urine, cystoscopy, contrast radiography of the urinary system.