Disseminated cryptococcosis, an unusual cause of gross proteinuria in an HIV-infected patient
Pathology (East Africa)
The laboratory diagnosis of renal tuberculosis is difficult, because identification of the organisms in the urine is hard and clinical and radiological presentations vary. However, ultrasound examination of the urinary tract reveals features of tuberculosis in over 50% of the cases . A recent work published 152 cases of correctly diagnosed renal tuberculosis classified into six types. This classification takes the variability of the ultrasonographic appearance of renal tuberculosis into account, whereas nephrectasia, distension of renal pelvis and calyces, empyema or calcification were the most prominent visible signs . In the case presented here, ultrasonographic findings and kidney biopsy results are primarily compatible with renal tuberculosis. Renal insufficiency accompanied by wasting should lead physicians to take tuberculosis into account.
(2009). Disseminated cryptococcosis, an unusual cause of gross proteinuria in an HIV-infected patient. NDT plus, 2(2), 185.
Available at: https://ecommons.aku.edu/eastafrica_fhs_mc_pathol/249