T.B. urinary tract :
It is usually 2ry to T.B. else where & occurs as blood borne.
The initial lesion is in cortex then pelvis then ureters bladder
& epididymis

C/P:
G. features of T.B. 2 N & 2L
Dysuria, haematuria.
Investig:.
Sterile pyuria + specific culture. IVP and sonar should be done after (2-3 ms) as ureteric strictures may develop in the healing phase.
ttt :
Anti - T.B.

Upper U.T.I. Lower U.T.I.
= pyelonephritis = prostatitis, cystitis,urethritis

C/P:
Loin pain
toxaemia (fever, rigors) - ve
± dysuria dysuria, frequency
Bl. Picture:
T L C
­
E S R ­ - ve
C.R. protein +ve
Urine:
pus pus
+ ve culture + ve culture
WBC cast + ve WBC cast - ve
organism coated with Ab
· - ve
ttt: Long term Short term

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)