Review of 175 Cases of Tuberculosis Infections Affecting the Urogenital System

• Tipo: Artigo em Revista Científica Internacional
• Data: 2022

Autores

Dias, N (Autor) Outra; Pina Vaz, T (Autor) Outra; Abreu Mendes, P (Autor) Outra; Azeredo Costa, T (Autor) Outra; Rodrigues Pereira, P (Autor) Outra; Carlos Silva (Autor) FMUP; Botelho, F (Autor) Outra

Revista

A Revista está pendente de validação pelos Serviços Administrativos.

Título: Turkish Journal of Urology

Vol. 48

Páginas: 440-445

ISSN: 2149-3235

Indexação

Scopus - 440 Citações

Outras Informações

ID Authenticus: P-00X-GFD

DOI: 10.5152/tud.2022.22148

Abstract (EN): Objective: Urogenital tuberculosis and disseminated tuberculosis affecting urogenital system are more fre-quent in developing countries but are often overlooked in developed ones. We aimed to compare clinical characteristics and outcomes of urogenital tuberculosis and disseminated tuberculosis affecting the urogeni-tal system. Material and methods: We retrospectively reviewed data from patients with tuberculosis in the urogenital system, diagnosed in a tertiary center in a European country, from 2008 to 2018. Cases were divided into urogenital tuberculosis and disseminated tuberculosis affecting the urogenital system and compared. Results: We included 172 patients, 31 with urogenital tuberculosis and 141 with disseminated tuberculosis affecting urogenital system. Patients with disseminated tuberculosis affecting the urogenital system were younger (median 45 vs. 64 years, P =.001), more likely to be male (80 vs. 55%, P =.005), or having risk factors for the disease (84 vs. 23%, P =.005) than patients with urogenital tuberculosis. Patients with urogenital tuberculosis presented most commonly with symptoms related to the urinary tract, with 52% complaining of lower urinary tract symptoms attributed to urinary tract infections and 48% of dysuria, while patients with disseminated tuberculosis affecting the urogenital system presented mainly with systemic symptoms, with 89% complaining of malaise, 62% of fever, and 57% of anorexia. Patients with urogenital tuberculosis were more likely to need urological surgery as part of their treatment (71 vs. 5%, P <.001) and patients with disseminated tuberculosis affecting the urogenital system were more likely to die due to tuberculosis (10 vs. 21%, P <.001). Conclusion: Tuberculosis of the urogenital system can have multiple clinical presentations, and a simple diagnostic algorithm does not exist. In the presence of urogenital tuberculosis in injected drug users, immu-nosuppressed individuals, or patients with systemic symptoms, we should think of disseminated tuberculosis affecting the urogenital system and remember these patients less frequently need surgery but entail a worst outcome. © Author(s).

Idioma: Inglês

Tipo (Avaliação Docente): Científica