Use of Corticosteroids for Urinary Tuberculosis Patients at Risk of Developing Ureteral Obstruction.

Use of Corticosteroids for Urinary Tuberculosis Patients at Risk of Developing Ureteral Obstruction. Intern Med. 2016;55(23):3539-3542 Authors: Matsui K, Furumoto A, Ohba K, Mochizuki K, Tanaka T, Takaki M, Morimoto K, Ariyoshi K Abstract A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an anti-tuberculosis 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. PMID: 27904125 [PubMed - in process]
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research