A hidden case of tuberculosis: a rare kidney abscess

Roberto R. Gutiérrez-Gómez, Servicio de Nefrología, Hospital Guayaquil Dr. Abel Gilbert Pontón, Guayaquil, Ecuador
Kelly V. Andrade-Mejía, Universidad Católica de Santiago de Guayaquil. Guayaquil, Ecuador
Samuel M. Rovira-Bayas, Universidad Católica de Santiago de Guayaquil. Guayaquil, Ecuador

Urogenital tuberculosis is the most common extrapulmonary form. Although considered rare, it accounts for up to 30% of cases. It predominates in males and is associated with immunosuppressive conditions. Its clinical presentation is usually insidious and nonspecific, which often delays diagnosis. However, in advanced stages, it can cause serious complications, affecting the prognosis. Objective: To describe one of the clinical presentations of renal tuberculosis. Materials and Methods: We present a case of renal tuberculosis in an immunocompetent patient, which manifested as a renal abscess. Results: The patient required drainage of the renal abscess and antituberculosis antibiotic treatment. Conclusion: This case highlights the importance of considering renal tuberculosis as a differential diagnosis, even in immunocompetent patients with renal abscesses of unclear etiology.

Keywords: Urogenital tuberculosis. Renal abscess. Renal tuberculosis.