Tuberculosis as an interdisciplinary problem: a case of occupational damage to the organs of the genitourinary system

Abstract

In the Russian Federation, genitourinary tuberculosis ranks third in the structure of extrapulmonary tuberculosis. Timely recognition of genitourinary tuberculosis is usually difficult. The authors analyzed a case of occupational infection with tuberculosis of the genitourinary system by a phthisiologist. The clinical observation ended with a clinical cure for tuberculosis of the genitourinary system, however, with the outcome in chronic prostatitis, chronic post-tuberculosis pyelonephritis with the development of chronic kidney disease. It is shown that the timely establishment of a connection between urinary syndrome and epidemiological, including professional anamnesis, contributes to the timely establishment of the professional nature of the disease. With untimely diagnosis and late initiation of treatment of tuberculosis of the genitourinary system, serious complications can develop up to the destruction of the kidney with complete loss of its function, which leads to disability and loss of ability to work. If tuberculosis of the genitourinary system is suspected, experts recommend conducting a study of urine sediment, prostate secretion to determine the deoxyribonucleic acid of mycobacterium tuberculosis by polymerase chain reaction. Any doubt in case of nonspecific inflammation of the genitourinary system should be interpreted in favor of tuberculosis with further in-depth examination and dynamic monitoring.