Melola Discovery

← Melola Discovery

Jurnal SINTA 1

Renal Tuberculosis: The Masquerader

ACTA MEDICA INDONESIANA · Vol. 51 No. 4 (2020)

ISSN
2338-2732, 0125-9326
Terbit
2020-02-10
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Tuberculosis (TB) remains a worldwide scourge and the most common cause of mortality from infectious disease. Around 95% of cases occur in developing country. Renal TB is a rare cases that complicates 3-4% of pulmonary TB patients and commonly overlooked in clinical practice due to its symptoms may mimic other diseases.A-39-year-old man was admitted to our institution due to flank pain. He had history of low grade fever and oligouria since 5 months prior. He had no complaint of cough, dyspnea, or night sweat. He was a non smoker and had no past medical history of tuberculosis. Previous 4 months abdominal ultrasound showed left pelvocaliectasis and ureteral dilatation with suspicion of left ureteral stenosis. Ureterolithiasis could not be excluded. No prostate enlargement or vesicolithiasis was seen. Intravenous pyelography (IVP) examination demonstrated similar finding. Initial laboratory blood examination showed anemia (10.7 g/dl), leukocytosis (14,080/ul), increased in serum creatinin (4.2 mg/dl), ureum (227 mg/dl), and calcium (6.78 mg/dl). Serology examinations were negative for HIV, HBsAg, anti HCV and blood culture had no growth. Urinary examination revealed severe leucocyturia, hematuria, and negative for bacteria, nitrite and cast. Urine culture was positive for Candida glabrata. Pulmonary X-ray suggested right pleural fibrotic. He was initially diagnosed as multiple myeloma with fungal infection. Nevertheless, additional peripheral blood smear showed neither rouleaux formation nor blast. He underwent percutaneous nephrostomy and got micafungin intravenously. Instead of improving, the patient deteriorated and transferred to intensive room. We then explored the possibility of TB infection. Further examination revealed positive for Mycobacterium tuberculosis in urinary polymerase chain reaction (PCR) test. Tracheal sputum examination was positive for acid fast bacilli staining. There was low level of serum vitamin D2 (5.8 ng/ml). He got TB treatment with rifampicin, isoniazid, pyrazinamide, and ethambutol. Unfortunately, the patient eventually succumbed.

Kata kunci

Jaringan kolaborasi para penulis

40 penulis · 156 tautan kepenulisan bersama · menampilkan 40 yang paling banyak terhubung

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

  • Afiliasi tidak diketahui
  • Organisasi berbeda
  • Organisasi sama
  • Afiliasi tidak diketahui
  • Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel
Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Laniyati HamijoyoAfiliasi tidak diketahui5
Trinugroho Heri FadjariAfiliasi tidak diketahui2
Fauliza RakhimaAfiliasi tidak diketahui2
Rubin Surachno GondodiputroAfiliasi tidak diketahui2
Irsan HasanAfiliasi tidak diketahui1
Indra WijayaAfiliasi tidak diketahui1
R.N. Yasmin KusumawardhaniAfiliasi tidak diketahui1
Bachti AlisjahbanaAfiliasi tidak diketahui1
Budi SetiabudiawanAfiliasi tidak diketahui1
Januar Wibawa MarthaAfiliasi tidak diketahui1
Syarief HidayatAfiliasi tidak diketahui1
Mohammad Rizki AkbarAfiliasi tidak diketahui1
Henny TantonoAfiliasi tidak diketahui1
Sylvie SakasasmitaAfiliasi tidak diketahui1
Kevin KarimAfiliasi tidak diketahui1
Sasfia CandrianitaAfiliasi tidak diketahui1
Erica Kwan YueAfiliasi tidak diketahui1
Aang SetiawanAfiliasi tidak diketahui1
Amaylia OehadianAfiliasi tidak diketahui1
Ria BandiaraAfiliasi tidak diketahui1
Lisda AmaliaAfiliasi tidak diketahui1
Hikmat PermanaAfiliasi tidak diketahui1
Ervita RitongaAfiliasi tidak diketahui1
Maya KusumawatiAfiliasi tidak diketahui1
Miftahurachman MiftahurachmanAfiliasi tidak diketahui1
Nanny Natalia SoetedjoAfiliasi tidak diketahui1
Samadhi Tulus MakmudAfiliasi tidak diketahui1
Nur SamsuAfiliasi tidak diketahui1
Atma GunawanAfiliasi tidak diketahui1
Mohammad RudiansyahAfiliasi tidak diketahui1
Enita Rakhmawati KurniaatmajaAfiliasi tidak diketahui1
Ria BandariaAfiliasi tidak diketahui1
Djallalluddin DjallalluddinAfiliasi tidak diketahui1
Nuvita HasriantiAfiliasi tidak diketahui1
Etik MertiantiAfiliasi tidak diketahui1
Alif Noeriyanto RahmanAfiliasi tidak diketahui1
Anwar Samhari bin Mat ArshadAfiliasi tidak diketahui1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Renal Tuberculosis: The Masquerader</dc:title>
	<dc:creator>Supriyadi, Rudi</dc:creator>
	<dc:creator>Darmawan, Guntur</dc:creator>
	<dc:creator>Pranggono, Emmy Hermiyanti</dc:creator>
	<dc:subject xml:lang="en-US">renal</dc:subject>
	<dc:subject xml:lang="en-US">tuberculosis</dc:subject>
	<dc:subject xml:lang="en-US">pulmonary TB</dc:subject>
	<dc:description xml:lang="en-US">Tuberculosis (TB) remains a worldwide scourge and the most common cause of mortality from infectious disease. Around 95% of cases occur in developing country. Renal TB is a rare cases that complicates 3-4% of pulmonary TB patients and commonly overlooked in clinical practice due to its symptoms may mimic other diseases.A-39-year-old man was admitted to our institution due to flank pain. He had history of low grade fever and oligouria since 5 months prior. He had no complaint of cough, dyspnea, or night sweat. He was a non smoker and had no past medical history of tuberculosis. Previous 4 months abdominal ultrasound showed left pelvocaliectasis and ureteral dilatation with suspicion of left ureteral stenosis. Ureterolithiasis could not be excluded. No prostate enlargement or vesicolithiasis was seen. Intravenous pyelography (IVP) examination demonstrated similar finding. Initial laboratory blood examination showed anemia (10.7 g/dl), leukocytosis (14,080/ul), increased in serum creatinin (4.2 mg/dl), ureum (227 mg/dl), and calcium (6.78 mg/dl). Serology examinations were negative for HIV, HBsAg, anti HCV and blood culture had no growth. Urinary examination revealed severe leucocyturia, hematuria, and negative for bacteria, nitrite and cast. Urine culture was positive for Candida glabrata. Pulmonary X-ray suggested right pleural fibrotic. He was initially diagnosed as multiple myeloma with fungal infection. Nevertheless, additional peripheral blood smear showed neither rouleaux formation nor blast. He underwent percutaneous nephrostomy and got micafungin intravenously. Instead of improving, the patient deteriorated and transferred to intensive room. We then explored the possibility of TB infection. Further examination revealed positive for Mycobacterium tuberculosis in urinary polymerase chain reaction (PCR) test. Tracheal sputum examination was positive for acid fast bacilli staining. There was low level of serum vitamin D2 (5.8 ng/ml). He got TB treatment with rifampicin, isoniazid, pyrazinamide, and ethambutol. Unfortunately, the patient eventually succumbed.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2020-02-10</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/826</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 51 No. 4 (2019): Acta Medica Indonesiana; 353</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/826/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2020 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>