- GFR: may be reduced, increase in 24-hour proteinuria and
manifestations of distal tubular dysfunction (e.g. renal tubular
acidosis, inability to concentrate urine). - Renal biopsy: is not indicated.
Treatment:- Antimicrobial therapy: according to culture and sensitivity testing
and a long suppressive regimen is indicated. - Surgical treatment for anatomic abnormality or stone disease.
- Treatment of hypertension.
- If the patient presents with chronic renal failure, treatment will be
provided as described in section on chronic renal failure.
URINARY TUBERCULOSIS
Clinical picture of genitourinary tuberculosis:
Tuberculosis should be considered in the presence of:
1- Chronic cystitis non responding to adequate treatment.
2- Sterile pyuria
3- Gross and microscopic hematuria
4- Non tender and enlarged epididymis with beaded thick vas
5- Chronic scrotal sinus
6- Nodular prostate and thick seminal vesicle in young males.Symptoms:
1- Asymptomatic
2- Constitutional symptoms: malaise, night fever and sweating and weight
loss
3- Symptoms related to kidney and ureter:
- May be asymptomatic