%0 Journal Article
%T Bilateral Renal Mass-Renal Disorder: Tuberculosis
%A Ozlem Tiryaki
%A Celalettin Usalan
%A Samet Alkan
%J Case Reports in Nephrology
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/724693
%X A 30-year-old woman has presented complaining of weakness and fatigue to her primary care physician. The renal sonography is a routine step in the evaluation of new onset renal failure. When the renal masses have been discovered by sonography in this setting, the functional imaging may be critical. We reported a case about bilateral renal masses in a young female patient with tuberculosis and renal insufficiency. Magnetic resonance (MR) has revealed the bilateral renal masses in patient, and this patient has been referred to our hospital for further management. The patient¡¯s past medical and surgical history was unremarkable. 1. Introduction The end-stage renal disease (ESRD) is a well-documented risk factor for developing an infection with Mycobacterium tuberculosis [1]. The presentation of Mycobacterium tuberculosis in patients with end-stage renal disease depends on the degree of immunosuppression that it could be atypical and difficult to diagnose compared with the classical presentation of Mycobacterium tuberculosis in nonimmunocompromised individuals. 2. Case Report A 30-year-old female patient was found to have a creatinine of 4.8£¿mg/dL on routine preemployment health checkup. She had no facial puffiness, swelling of legs, hematuria, or dysuria, and she denied any history of fever, joint pains, weight loss, or consumption of indigenous medicines. There was neither a regular medication history nor a particular characteristic in the family history. Physical examination was normal except for mild pallor and tachycardia. Her physical examination revealed that her overall condition was in between, and she was conscious and cooperating. Her blood pressure was 110/70£¿mm/Hg, pulse rate 106/min, and fever 36.2¡ãC. Other system examinations were all normal. The initial laboratory studies revealed a hypochromic microcyter anemia. There was no atypical cell on peripheral blood smear. Erythrocyte sedimentation rate (ESR) was 40£¿mm/h. PTH 279 was pg/mL. No pathologic findings were observed in urinalysis. The patient was hospitalized in nephrology service with a diagnosis of bilateral renal mass. PPD was positive (15£¿mm diameter). No fever was recorded during the follow-up period. Patient¡¯s laboratory data are depicted in the Table 1. Table 1: Laboratory studies*. The renal sonography has demonstrated small kidneys according to her age and bilateral renal masses. The hyperechoic right renal mass is measured £¿mm, and hyperechoic left renal mass is measured £¿mm. The contrast MR examination was performed on the same day. These renal masses were slightly
%U http://www.hindawi.com/journals/crin/2013/724693/