Microbiological and Microscopic Examination of the Urine in Renal Tuberculosis

I.D. Kryzhanovsky

Abstract


This article contains a part of work, which aims to develop new and improve old approaches to early diagnosis and treatment of patients with renal tuberculosis, especially when combined with chronic nonspecific pyelonephritis, as well as increasing opportunities for differential diagnosis of patients with clinical examination of inflammatory kidney disease of unknown etiology.
The study covered the results of examination and treatment of patients with more than 1,000 of which were selected for detailed analysis of 206 cases. At the same time in 184 patients with the diagnosis of renal tuberculosis was confirmed (isolated or in combination with chronic nonspecific pyelonephritis), and 22 patients had isolated nonspecific pyelonephritis. When analyzing the traditional objective signs and medical history, general clinical laboratory parameters of blood, urine and blood biochemical studies were considered. For identification of microorganisms in the urine used microscopic examination of the urine, as well as microbiological methods with seeding on traditional and experimental nutrient medium. Urine samples were performed with the polymerase chain reaction. The results of ultrasound and X-ray examination were considered. We are used diagnostic endourological tests. In addition, mandatory consideration includes tuberculin test, developed thermographic probe with tuberculin test.
On the basis of statistical data analysis were developed prognostic tables that allow for differential diagnosis with principle mathematical forecast.
This article is an excerpt of work on the analysis of microscopic and microbiological diagnostic tests in patients with isolated renal tuberculosis and tuberculosis combined with chronic nonspecific pyelonephritis. We have found the following law — the least sensitive method to identify pathogenic microorganism of tuberculosis is stained microscopy of painted smear of urine. In secondary kidney diseases, chronic nonspecific pyelonephritis in patients with renal tuberculosis most common pathogen is a Gram-negative flora.


Keywords


renal tuberculosis; nephrotuberculosis; combined kidney injury by tuberculosis and pyelonephritis; diagnosis; pathogen search

References


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DOI: https://doi.org/10.22141/1997-2938.1.24.2014.82876

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