---what about disseminatied Kochs?

solitary cysts unlikely..










In paediatrics@yahoogroups.com, pediatric update
<cmepediatrics@y...> wrote:
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> Note: forwarded message attached.
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> 9 year old female child presented with recurrent
hematuria,pyuria and pain in abdomen since last 2 years.She also
requires intermittent catheterisation for urinary retension.Both the
parents are on anti tuberculous drugs since 1yr for pulmonary
tuberculosis.
> She is anaemic and malnourished[grade iv].No
lymphadenopathyn or organomegaly.
> Urine culture is persistantly sterile.Urine for AFB has not
shown/grown AFB.USG s/o bilateral hydronephrosis with
hydroureter.CTscan of chest showinng cystic lesion containing air in
left postero-apical area and CTscan abdomen is showing pneumatic
cyst in rt kidney.
> pt has not responded to broad spectrum antibiotics and
having persistant fever,pyuria and hyponatremia.
> WHAT IS THE LIKELY DIGNOSIS?
>
> the lung cyst
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> the renal cyst
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