最近経験した閉塞性腎結核の3例

Abstract

This report deals with three cases of obstructive renal tuberculosis recently observed in our clinic, along with review of the literatures concerning the disease. It was noteworthy that no clinical findings suggesting presence of tuberculosis of the urinary tract was evident in these cases. Two were accidentally found to have renal tuberculosis during examination of hypertension, and the other was found to have the disease during treatment for penis tuberculide. In two cases showing hypertension, nephrectomy was performed as renal hypertension without post-operative decrease of blood pressure, probably due to the far advance of the hypertensive status which might inhibit the effect of nephrectomy. When so-called "non-functioning kidney" is found, or during treatment of hypertension and tuberculide, an attention must be given to the possible presence of this disease. Nephrectomy is desirable as the choice of treatment for this disease, in which harmful complication is not infrequently observed.