Medicinski vjesnik, Vol. 25 No. (3-4), 1993.
Professional paper
The analysis of a higher frequency of kidney tuberculosis in Slavonski Brod.
Mirna Petanović
Josip Čeović
Abstract
In the last three years in the Microbiological Laboratory in Slavonski Brod, we noticed a more frequent isolation of Mycobacterium tuberculosis from urine. There were 3.7% of positive cultivations in the period from 1st January, 1994 to 10th October, 1994, which is a statistically significant increase (X2 = 7.25; pcO.Ol) compared to all previous years in Slavonski Brod as well as compared to the year of 1993 in the Republic of Croatia (X2=20.90; pcO.Ol) In the period March, 1993 - October, 1994 kidney tuberculosis was proven in 22 patients, 12 females and 10 males, at the average age of 45 (18-78) years. Twelve cases suspect to have kidney tuberculosis were discovered by general practitioners or in a school dispensary, whereas 10 were discovered at the Department of Internal Diseases. Urine was sent to analysis 4 times on average and the primoisolation occurred after 4-6 weeks of incubation at 37°C (77%). Among the patients there were 5 (23%) refugees. One patient died, whereas two had resistant types of M. tuberculosis. Most of the affected (59%) were under 50, suffering from nephrolithiasis and most frequen symptoms of dysuria, haematuria and lumbalgia. Along with alcoholism and diabetes mellitus, we noticed Balcan endemic nephropathy, whose relation to kidney tuberculosis requires additional investigation.
Keywords
Hrčak ID:
194721
URI
Publication date:
1.12.1993.
Visits: 1.380 *