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《Chinese Journal of Clinical Medicine》 2006-01
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Etiology Analysis of the Diseases Misdiagnosed as Urinary Tract Tuberculosis (Report of 6 Cases)

JIN wei LI Ruchang Department of Urology,Jinshan Hospital of Fudan University,Shanghai 200540  
Objective:To analyze the causes of misdiagnosis and to establish the etiology classification of the diseases misdiagnosed as urinary tract tuberculosis. Methods: The medical records of 6 cases during the past 30 years were reviewed retrospectively. Results: According to etiology of the misdiagnosed diseases, 4 major categories were divided. Congenital anomalies of the Kidney were in 2 cases, including unilateral renal agenesis in 1, congenital hydrocalycosis of infundibulopelvic stenosis in 1. Multiple primary uroepithelial carcinoma in situ in upper and lower urinary tract in 1 case uroepithelial carcinoma in the upper pole calyx in 1, Exceptional urinary stone disease in 1 case.. Massive hematuria due to renal vascular purpura in 1 case. Conclusion: Excessively depending on .tuberculosis- like looking on the urinary tract, imaging studies were the pricipal reason for misdiagnosis. Congenital anomalies, unusual uroepithelial carcinoma and urinary stone disease, hematuria in some medical renal disease should be considered and supplemented in differential diagnosis of atypical urinary tract tuberculosis.
【CateGory Index】: R447
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