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

Matsui, Kosuke  ,  Furumoto, Akitsugu  ,  Ohba, Kojiro  ,  Mochizuki, Kota  ,  Tanaka, Takeshi  ,  Takaki, Masahiro  ,  Morimoto, Konosuke  ,  Ariyoshi, Koya

55 ( 23 )  , pp.3539 - 3542 , 2016-12-01 , 日本内科学会
ISSN:09182918
Description
A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an antituberculosis 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.
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http://naosite.lb.nagasaki-u.ac.jp/dspace/bitstream/10069/37364/1/IntMed55_3539.pdf

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