PMID- 31781434
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2090-6625 (Print)
IS  - 2090-6633 (Electronic)
VI  - 2019
DP  - 2019
TI  - Complicated Urinary Tract Tuberculosis in a 13-Year-Old Adolescent with Chronic 
      Kidney Disease and Antituberculous Drug-Induced Hepatotoxicity.
PG  - 7370150
LID - 10.1155/2019/7370150 [doi]
LID - 7370150
AB  - Urinary tract tuberculosis (TB) is a rare extrapulmonary manifestation of TB in 
      children. The disease is potentially underdiagnosed because it clinically 
      resembles other urinary tract infections. A 13-year-old adolescent girl presented 
      with pain, difficulty in micturition, and gross hematuria for almost two years 
      before admission, and she had left flank pain since one year ago and significant 
      loss of body weight during the illness. The close TB contact was her grandmother 
      who was on TB treatment. Acid-fast bacilli yielded positive result, Mantoux test 
      was positive (17 mm), urine GeneXpert MTB/Rif was positive; tuberculoma was 
      identified on kidney histopathology, and a diuretic renogram revealed an 
      uncorrected glomerular filtration rate (GFR) of the right and left kidney to be 
      32.5 mL/min/1.73 m(2) and 5 mL/min/1.73 m(2), respectively. During the treatment, 
      oral anti-TB drug-induced hepatotoxicity (ADIH) occurred to the patient. This 
      problem was solved with management according to the British Thoracic Society 
      (BTS) guidelines. Screening TB in children is very important for a better 
      outcome. If children complain of some complicated urinary tract infection, TB 
      should be suspected. Optimaly treating children with urinary tract TB exagerrated 
      with ADIH and CKD is very challenging.
CI  - Copyright (c) 2019 Heda Melinda Nataprawira et al.
FAU - Nataprawira, Heda Melinda
AU  - Nataprawira HM
AUID- ORCID: 0000-0001-8079-6544
AD  - Respirology Division, Department of Child Health, Faculty of Medicine, 
      Universitas Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, 
      West Java 40161, Indonesia.
FAU - Pratama, Adhitya Agung
AU  - Pratama AA
AD  - Nephrology Division, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
FAU - Widiasta, Ahmedz
AU  - Widiasta A
AUID- ORCID: 0000-0001-5664-089X
AD  - Nephrology Division, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
FAU - Sibarani, Jupiter
AU  - Sibarani J
AD  - Urology Department, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
FAU - Hilmanto, Dany
AU  - Hilmanto D
AD  - Nephrology Division, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
FAU - Sekarwana, Nanan
AU  - Sekarwana N
AD  - Nephrology Division, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
FAU - Rachmadi, Dedi
AU  - Rachmadi D
AD  - Nephrology Division, Department of Child Health, Faculty of Medicine, Universitas 
      Padjadjaran, Hasan Sadikin General Hospital, Pasteur 38, Bandung, West Java 
      40161, Indonesia.
LA  - eng
PT  - Case Reports
DEP - 20191023
PL  - Egypt
TA  - Case Rep Infect Dis
JT  - Case reports in infectious diseases
JID - 101573243
PMC - PMC6855035
COIS- The authors declare that there are no financial and personal relationships with 
      other people or organizations that could inappropriately influence their work.
EDAT- 2019/11/30 06:00
MHDA- 2019/11/30 06:01
PMCR- 2019/10/23
CRDT- 2019/11/30 06:00
PHST- 2019/01/24 00:00 [received]
PHST- 2019/08/29 00:00 [accepted]
PHST- 2019/11/30 06:00 [entrez]
PHST- 2019/11/30 06:00 [pubmed]
PHST- 2019/11/30 06:01 [medline]
PHST- 2019/10/23 00:00 [pmc-release]
AID - 10.1155/2019/7370150 [doi]
PST - epublish
SO  - Case Rep Infect Dis. 2019 Oct 23;2019:7370150. doi: 10.1155/2019/7370150. 
      eCollection 2019.