A long journey to be diagnosed as a case of tuberculous cystitis: A Bangladeshi case report and review of literatures

Int J Mycobacteriol. 2020 Jul-Sep;9(3):248-253. doi: 10.4103/ijmy.ijmy_101_20.

Abstract

Urinary bladder tuberculosis (UB-TB) is one of the gravest public health issues of renal TB, and it is diagnosed with <50% of urogenital TB. Unsatisfactory and delayed diagnosis with imprudent medications for bladder TB frequently resulted in several urinary and complications, including contraction of the UB. The objectives of this research were to build awareness among medical professionals and subsequently minimize the sufferings of patients. This was a case report-based study regarding UB-TB. All routine tests for cystitis were conducted. In addition, 24-h urine sample for TB identification, including a polymerase chain reaction test, was performed. Twenty-four hours of urine sample revealed confirmatory findings of TB. The patient had responded well with the national TB guideline-designated medication. Recurrent cystitis had a higher possibility of tuberculous origin. Medical doctors must rethink when a patient visited multiple times for cystitis for the etiology of the disease.

Keywords: Diagnosis delay; failure; imprudent prescribing; irrational medication; prolonged suffering; tuberculosis; urinary bladder.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • Bangladesh
  • Cystitis / diagnosis*
  • Cystitis / microbiology*
  • Delayed Diagnosis
  • Humans
  • Male
  • Mycobacterium tuberculosis / genetics
  • Mycobacterium tuberculosis / isolation & purification
  • Recurrence
  • Tuberculosis, Urogenital / diagnosis*
  • Tuberculosis, Urogenital / drug therapy
  • Tuberculosis, Urogenital / urine

Substances

  • Antitubercular Agents