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- Title
Urinalysis May Solve the Diagnostic Dilemma in Vasculitis with Pulmonary Involvement Mimicking Tuberculosis.
- Authors
Ozkan, Oktay; Cebeci, Egemen; Gursu, Meltem; Ozluk, Yasemin; Sumnu, Abdullah; Behlul, Ahmet; Karadag, Serhat; Ozturk, Savas
- Abstract
Introduction. Tuberculosis is an endemic disease in developing countries and more prevalent than vasculitis. Patients with vasculitis may be intermingled due to similar findings at the time of presentation. Herein, we presented three cases of vasculitis emerging with rapidly progressive glomerulonephritis referred from the department of pulmonary diseases of another hospital within the same month. Cases. All of the patients presented had constitutional symptoms. Two of them were in the second month of antituberculosis treatment while the other had only nonspecific antibiotherapy. Two patients had no urine analysis during the period spent in the department of pulmonary diseases. All were referred to our hospital due to the need for hemodialysis at that time proteinuria and hematuria were detected in urine analysis of the three patients. With the proper diagnostic and therapeutic approach, two of the patients became free of dialysis, and pulmonary symptoms and signs recovered in all three. Conclusion. Vasculitis with lung involvement should be in the list of differential diagnoses of the cases with clinical and radiological findings of tuberculosis without microbiological evidence. Therefore, the addition of urinalysis to the tuberculosis guidelines may be suggested solving this diagnostic problem.
- Subjects
VASCULITIS; URINALYSIS; TUBERCULOSIS diagnosis
- Publication
BANTAO Journal, 2020, Vol 18, Issue 1, p37
- ISSN
1312-2517
- Publication type
Article