The Experts below are selected from a list of 540 Experts worldwide ranked by ideXlab platform
Christian Wejse - One of the best experts on this subject based on the ideXlab platform.
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Medical treatment for Urogenital Tuberculosis (UGTB).
GMS infectious diseases, 2018Co-Authors: Christian WejseAbstract:Urogenital Tuberculosis (UGTB) should in general be treated as pulmonary TB with a four-drug regimen of Isoniazid, Rifampicin, Ethambutol and Pyrazinamide for a total of 6 months, Ethambutol and Pyrazinamide only the first two months. Some patients may need longer treatment (cavitary disease, kidney abscess/malfunction, HIV co-infection). Treatment of multi-drug resistant Tuberculosis (MDR-TB) requires use of long-term intravenous treatment with aminoglycosides and other drugs with considerable toxicity for 18–24 months. Complications such as urinary tract obstruction may occur and should be treated with corticosteroids or surgery.
Ki Eun Hang - One of the best experts on this subject based on the ideXlab platform.
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a case of intracranial tuberculoma and optic disc tuberculoma suspected by miliary Tuberculosis
Tuberculosis and Respiratory Diseases, 1996Co-Authors: Kyeong Hong Jeon, Ki Eun HangAbstract:Intracranial tuberculoma results from hematogenous spread of pulmonary, intestinal or Urogenital Tuberculosis. However, it might be caused by pulmonary Tuberculosis, mainly. Clinically, symptoms of intracranial tuberculoma are headache and seizure, its symptoms are simillar to intracranial tumor. A 25-year-old-unmarried shopgirl was visited to this hospital because of headache, dizziness and visual disturbance for couple weeks in Sep. 1995. She had been treated with anti-Tuberculosis agents of miliary Tuberculosis during past nine months period. Brain MRI revealed intracranial tuberculoma and brain edema but not involved optic nerve. Ophthalmic examination revealed severe papilledema and splinter hemorrhage with bitemporal hemianopsis and central scotoma. This finding was strongly suggested of optic disc tuberculoma. Her symptoms became much better following repeated retrobulbar steroid injection with continuous anti-Tuberculosis agents. We report a interesting case with intracranial tuberculoma and optic disc tuberculoma associated by miliary Tuberculosis during anti-tuberculous treatment.
Kyeong Hong Jeon - One of the best experts on this subject based on the ideXlab platform.
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a case of intracranial tuberculoma and optic disc tuberculoma suspected by miliary Tuberculosis
Tuberculosis and Respiratory Diseases, 1996Co-Authors: Kyeong Hong Jeon, Ki Eun HangAbstract:Intracranial tuberculoma results from hematogenous spread of pulmonary, intestinal or Urogenital Tuberculosis. However, it might be caused by pulmonary Tuberculosis, mainly. Clinically, symptoms of intracranial tuberculoma are headache and seizure, its symptoms are simillar to intracranial tumor. A 25-year-old-unmarried shopgirl was visited to this hospital because of headache, dizziness and visual disturbance for couple weeks in Sep. 1995. She had been treated with anti-Tuberculosis agents of miliary Tuberculosis during past nine months period. Brain MRI revealed intracranial tuberculoma and brain edema but not involved optic nerve. Ophthalmic examination revealed severe papilledema and splinter hemorrhage with bitemporal hemianopsis and central scotoma. This finding was strongly suggested of optic disc tuberculoma. Her symptoms became much better following repeated retrobulbar steroid injection with continuous anti-Tuberculosis agents. We report a interesting case with intracranial tuberculoma and optic disc tuberculoma associated by miliary Tuberculosis during anti-tuberculous treatment.
Stošić Matea - One of the best experts on this subject based on the ideXlab platform.
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Urogenital Tuberculosis in 21st century
University of Rijeka. Faculty of Medicine. Department of Urology., 2018Co-Authors: Stošić MateaAbstract:Tuberkuloza je kronična, zarazna bolest koju uzrokuje bacil, M. Tuberculosis. Primarno zahvaća pluća, međutim moguću komplikaciju predstavlja hematogeni rasap, posljedično zahvaćajući bilo koji drugi organ, pa tako i Urogenitalni sustav. Zahvaćanje samog bubrega, točnije parenhima je dosta rijetka pojava, nešto češće je zbog svoje prokrvljenosti zahvaćen donji dio urinarnog sustava, te genitalni dio, gdje bacili, ekskrecijom kroz tubule dospiju u urinarni trakt. Simptomi same bolesti nisu specifični, te se najčešće uočavaju slučajnim nalazima. Pacijent se u početku javlja s učestalom, bezbolnom mikcijom te mikrohematurijom i sterilnom piurijom. Ukoliko je bolest uznapredovala i zahvatila mokraćni mjehur, simptomi su izraženiji. Opći simptomi kao što su vrućica, malaksalost, gubitak na težini su rijetkost. Ukoliko se bolest ne prepozna i pravodobno ne liječi, moguće su komplikacije i na udaljenim organima, kao što je zahvaćanje moždanih struktura, meningoencefalitis. U daljnjoj dijagnostici analiziramo urin na M. Tuberculosis koju možemo dokazati bojenjem po Ziehl-Neelsenu ili PCR-om, ukoliko je izvedivo. Sigurniji i točniji nalaz će nam omogućiti CT sa kontrastom i ultrazvuk, međutim CT ipak omogućava bolji anatomski prikaz. Postavljanjem dijagnoze Urogenitalne tuberkuloze odmah se započinje inicijalna antituberkulotska terapija, no ukoliko lezije napreduju bez obzira na terapiju, neophodno je postavljanje stenta ili perkutane nefrostomije. Kod uznapredovale bolesti a radi sprečavanja mogućih komplikacija, neophodan je kirurški zahvat koji uključuje nefrektomiju, dilataciju ili rekonstrukciju ureteralnih striktura ili augmentaciju mjehura.Tuberculosis is a chronic, contagious disease caused by bacillus M. Tuberculosis. The disease primarily affects the lungs, but there is a possibility of a hematogenic spread, resulting in the involvement of any other organ, like Urogenital system. Affecting the kidney, more precisely parenchyma is quite rare, something more often Tuberculosis affect the lower part of the urinary system because of excretion through the tubule into the urinary tract, and also the genital part because of its good blood circulation. Symptoms are not specific, and they are often observed by random findings. Initially, the patient complains about frequent, painless urination, microhematuria and sterile pyuria. If the disease has progressed and spred on the bladder, the symptoms are more pronounced. General symptoms such as fever, exhaustion, weight loss are rare. If the disease is not recognized and timely treated there is possibility of complicatons on distant organs, such as meningoencephalitis. In further diagnosis we analyze urine on Mycobacterium Tuberculosis which may be established by demonstration of tubercle bacili in the urine by acid- fast stain or PCR, if feasible. Furthermore, a safer and more accurate finding will enable us radiographic tools such as CT with contrast and ultrasound, but the CT provides a better anatomical presentation so it is preferred if it is feasible. Establishing a diagnosis of Urogenital Tuberculosis it is necessary to start immediately initial antituberculatory therapy, but if the lesions progress despite appropriate treatment, a further therapeutic procedure is early stenting or percutaneous nephrostomy. If disease is advanced, or to prevent further complications it is ordered surgical treatment which include nephrectomy, dilatation or reconstruction of ureteral stricture, and bladder augmentation
F Solebalcells - One of the best experts on this subject based on the ideXlab platform.
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the spermiogram in Urogenital Tuberculosis
Andrologia, 2009Co-Authors: J F Jimenezcruz, Saenz J De Cabezon, A Solerrosello, F SolebalcellsAbstract:Zusammenfassung Das Spermiogramm bei Uro-Genital-Tuberkulose Bei 50 Patienten - alle unter 40 Jahre alt - mit der Diagnose Nierentuberkulose wurde ein Spermiogramm angefertigt, um zu sehen, ob es irgendwelche cytomorphologischen oder biochemischen Veranderungen gibt. Die Patienten wurden in 2 Gruppen unterteilt: die 1. Gruppe umfaste Patienten, die eine klinische Beteiligung des Genitaltraktes aufweisen, die 2. Gruppe Patienten ohne irgendeine klinische Symptomatologie am auseren Genital. Die Veranderung des Spermiogramms in ubereinstimmung mit dem Schadigungsgrad der Nierentuberkulose und der spezifischen Behandlung wurde auch ausgewertet. Alle Patienten mit klinischen Veranderungen des Genitaltraktes zeigten Veranderungen in den cytomorphologischen und/oder biochemischen Untersuchungen. 75% der Patienten ohne Schadigung des Genitales zeigten eine Oligoasthenozoospermie. Trotz eingeleiteter Behandlung wurde keine Besserung des Spermiogramms beobachtet.
