A case report of renal Papillary Necrosis due to tuberculosi
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Urogenital tuberculosis is the most common cause of extrapulmonary tuberculosis, affecting about 27% of patients suffering from it. Tuberculosis is not only common in developing countries; but with the spurt in the number of immune-suppressed patients and the increasing incidence of drug-resistant strains, an increase in the number of patients suffering from genitourinary tuberculosis is expected even in developed countries. Genitourinary tuberculosis occurs owing to hematogenous dissemination of tubercular bacilli. Discussed below is a patient from a low socioeconomic background who presented for evaluation of flank pain and weight loss. It is important to suspect and diagnose tuberculosis on imaging to direct the clinician to perform appropriate investigations such as culture for Mycobacteria. Appropriate treatment is necessary to prevent complications such as ureteric strictures, putty kidney, thimble bladder and tubercular renal abscesses.

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