Use of Corticosteroids for Urinary Tuberculosis Patients at Risk of Developing Ureteral Obstruction

作者：Matsui Kosuke^*; Furumoto Akitsugu; Ohba Kojiro; Mochizuki Kota; Tanaka Takeshi; Takaki Masahiro; Morimoto Konosuke; Ariyoshi Koya

来源：Internal Medicine, 2016, 55(23): 3539-3542.

DOI：10.2169/internalmedicine.55.7135

• urinary tuberculosis
• ureteral stricture
• corticosteroid

A 77-year-old man with urinary tuberculosis developed post renal anuria two days after starting an anti-tuberculosis drug regimen. He had bilateral hydronephrosis, and his right kidney was radiologically diagnosed to be non-functioning. A transurethral catheter was placed in the left ureter. No improvement in the ureteral stricture was noted during the initial three weeks of treatment; however, the stricture did thereafter improve after the commencement of oral prednisolone. In cases of urinary tuberculosis, ureteral stricture can deteriorate and result in ureteral obstruction during anti-tuberculosis treatment. Pre-emptive administration of corticosteroids may be beneficial for preventing such stricture in patients with a pre-existing ureteral lesion.

• 出版日期2016