We present five patients with GUTB,
(with microbiological,
anatomopathological or optimal response to tuberculostatics diagnoses),
one of them after BCG therapy.
None of them were initially suspected by clinicians.
In all cases,
radiologists suggested TB as the first possibility of diagnosis.
CASE 1
48 year old male.
AIDS positive.
Epididymal mass and symtoms of prostatitis.
Intravenous urography shows:
Fig. 1 : Right kidney with delayed elimination
Fig. 2 : Precalicial cavity and infundibulum stenosis
Fig. 3 : Ureteral dilatation and stenosis
CASE 2
24 year old female.
Background: uterine Ewing Sarcoma.
Control CT shows:
Fig. 4 : Confluent uterine masses.
Ewing Sarcoma.
Fig. 5 : Control.
Iliac adenopathy and uterine density alteration with myometrium involvement,
thought to be tumor recurrence.
Final dianostic: TB
CASE 3
78 year old male.
Cystitis repetition.
CT shows:
Fig. 6 : Renal cortical scar
Fig. 7 : Multiple filling defects
Fig. 8 : Infundibular stenosis
Fig. 9 : Mural ureteral thickening
Fig. 10 : Stenosis and prestenotic distention
Fig. 11 : Ureteral stenosis
Fig. 12 : Nodular mural thickening in bladder wall
CASE 4
45 year old male.
Ureteral obstruction diagnostic in another institution.
CT shows:
Fig. 13 : Staghorn litiasis
Fig. 14 : Focal cortical nodule
Fig. 15 : Changes in chalices
Fig. 16 : Segmental ureteral distention
Fig. 17 : Focal ureteral stenosis
CASE 5
66 year old male.
Fever post intravesical BCG instillation.
CT shows:
Fig. 18 : Multiple hipocaptante nodules in renal parenchyma
Fig. 19 : Nodules tend to decrease size with antituberculous drugs.