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The incidence of subclinical forms of urogenital tuberculosis in patients with pulmonary tuberculosis

R. Zachoval, P. Nencka, M. Vasakova, E. Kopecka, V. Borovička, J. Wallenfels, P. Cermak,

. 2017 ; 11 (2) : 243-245. [pub] 20170727

Language English Country England, Great Britain

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc19001214

The aim of our study was to determine whether patients with pulmonary tuberculosis may have subclinical forms of urogenital tuberculosis. Between 2011 and 2012, a prospective study was conducted. Basic demographic parameters were recorded and the following investigations were performed: direct bacilloscopy of sputum, evaluation of affected lung fields and presence of cavities on chest X-ray, Mantoux tuberculin skin test II, and interferon gamma release assay. Culture and molecular methods for Mycobacterium tuberculosis in urine were performed. In cases with a positive urine test, an ultrasound examination, computed tomography scan of the abdomen, and endoscopy of the urinary tract were performed. A total of 102 patients (75 men and 27 women) were included in the study, with a median age of 46.8 years. Subclinical forms of urogenital TB were detected in 7 patients; 5 by molecular methods, 1 by urine culture, and 1 with both methods The presence of subclinical forms of genitourinary TB was found in 4 patients without and 3 patients with findings on imaging methods corresponding to TB. A significant number of patients with pulmonary tuberculosis may simultaneously have subclinical forms of urogenital TB.

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$a Zachoval, Roman $u Department of Urology, Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic; Department of Urology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic; Department of Urology, 3rd Faculty of Medicine of Charles University and University Hospital, Kralovske Vinohrady, Srobarova 1150/50, 100 34 Prague 10, Czech Republic. Electronic address: roman.zachoval@ftn.cz.
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$a The aim of our study was to determine whether patients with pulmonary tuberculosis may have subclinical forms of urogenital tuberculosis. Between 2011 and 2012, a prospective study was conducted. Basic demographic parameters were recorded and the following investigations were performed: direct bacilloscopy of sputum, evaluation of affected lung fields and presence of cavities on chest X-ray, Mantoux tuberculin skin test II, and interferon gamma release assay. Culture and molecular methods for Mycobacterium tuberculosis in urine were performed. In cases with a positive urine test, an ultrasound examination, computed tomography scan of the abdomen, and endoscopy of the urinary tract were performed. A total of 102 patients (75 men and 27 women) were included in the study, with a median age of 46.8 years. Subclinical forms of urogenital TB were detected in 7 patients; 5 by molecular methods, 1 by urine culture, and 1 with both methods The presence of subclinical forms of genitourinary TB was found in 4 patients without and 3 patients with findings on imaging methods corresponding to TB. A significant number of patients with pulmonary tuberculosis may simultaneously have subclinical forms of urogenital TB.
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$a Nencka, Petr $u Department of Urology, 3rd Faculty of Medicine of Charles University and University Hospital, Kralovske Vinohrady, Srobarova 1150/50, 100 34 Prague 10, Czech Republic. Electronic address: petr.nencka@gmail.com.
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$a Vasakova, Martina $u Department of Respiratory Medicine, 1st Faculty of Medicine of Charles University and Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic. Electronic address: martina.vasakova@ftn.cz.
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$a Kopecka, Emilie $u Department of Respiratory Medicine, 1st Faculty of Medicine of Charles University and Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic. Electronic address: emilia.kopecka@ftn.cz.
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$a Borovička, Vladimir $u Department of Urology, Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic. Electronic address: vladimir.borovicka@ftn.cz.
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$a Wallenfels, Jiri $u National TB Surveillance Unit, Hospital Na Bulovce, Budinova 67/2, Prague 8, Czech Republic. Electronic address: jiri.wallenfels@bulovka.cz.
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$a Cermak, Pavel $u Department of Clinical Microbiology, Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic; Department of Laboratory Medicine, 3rd Faculty of Medicine, Charles University, Prague, Czech Republic. Electronic address: pavel.cermak@ftn.cz.
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