October - LRS Institute of Tuberculosis & Respiratory Diseases

A CORRELATIVE STUDY ON ISOTOPE RENOGRAPHY, INTRAVENOUS PYELOGRAPHY ETC. 237
(3) Normal vascular and secretory phase
with delay in fall of curve in excretory
phase, indicating impairment of drainage
(Type C),
(c) Intravenous Pyelography
After proper preparation of the patient, a
check film of abdomen was taken. If satisfactory,
40 c.c. of Conray 420 was injected intravenously.
15” x 12” X-ray films were exposed at intervals
of 7-1/2, 15 and 30 minutes. Pyelograms were
analysed for any abnormal findings.
Observations
The 16 patients with urine cultures positive
for M. tuberculosis were reviewed in terms of
their initial clinical diagnosis. Nine patients had
a possible or probable initial diagnosis of renal
tuberculosis based on urinary symptoms or
abnormalities demonstrated by urinalysis at the
time of admission. The remaining 7 (4.7%)
patients had normal urinalysis and positive
urine culture was not anticipated.
Out of 16 patients with urine culture positive
for M. tuberculosis, 13 (81.2%) patients had
abnormal renograms. Type B abnormality was
most common and was seen in 9 patients on
left side and in 2 patients on right side.
TABLE 1
Patient Categories
The frequency of Urine Culture Positive for M. tuberculosis in various patient categories
No. of
Patients
Patients with positive urine cultures
(No.)
(Percentage)
Total patients studied 150 16 10.7
Patients of Pulmonary Tuberculosis 100 9 9
Patients with Osteoarticular tuberculosis 50 7 14
TABLE 2
-
Urinalysis Findings of 16 Patients with Urine Culture Positive for M. tuberculosis
Urinary Findings
Patients
Pulmonary Tub. Osteoarticular Tub. Both
(No.) (%) (No.)/ (%) (No.) (%)
Acidic reation 9 100 7 300 16 100
Albuminuria 5 55,6 4 57.1 9 56.2
Microscopic :
Pus cells 5 55.6 4 57.1 9 56-2
R.B.C. 4 44.4 3 42.9 7 43.8
Casts 2 22.2 1 14.3 3 18.8
Ind. J. Tub., Vol. XXIX, No. 4