DIAGNOSTCAL DIFFICULTIES OF RENAL TUBERCULOSIS
Keywords:
renal tuberculosis, nephrotuberculosis , diagnosis, differential diagnosis, urine PCR.Abstract
This review presents a systematic approach to diagnosis based on the integration of laboratory (including key urine PCR) and instrumental (primarily contrast-enhanced MSCT) methods. MSCT is considered the most informative method for assessing the extent and specificity of lesions (caverns, calcifications ). For differential diagnosis with chronic pyelonephritis, papillary necrosis, spongy kidney, urolithiasis, and neoplasms, a clear algorithm is proposed based on a comprehensive analysis of the anamnesis, the results of three urine cultures, PCR testing, tuberculin diagnostics , and imaging data.
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