October - LRS Institute of Tuberculosis & Respiratory Diseases

A CORRELATIVE STUDY OF ISOTOPE RENOGRAPHY, INTRAVENOUS PYELOGRAPHY ETC. 239
TABLE 5
Correlation Between Intravenous Pyelogram (I. V.P.) and Isotope Renograms of 16 Urine Culture Positive Canes
I.V.P. Findings
Total No. Abnormal isotope
Renograms
Type of Abnormality
(No.) (%} A B C
Normal 9 6 66.7 0 6 0
Abnormal 7 7 100 2 5 0
(a) Moth eaten appearance of calyces 4 4 100 0 4 0
(b) Calyceulasis with pour visualization 1 1 100 1 0 0
(c) Culycectasis with hydro-ureter 1 1 100 0 1 0
(d) N on- visualization 1 1 100 1 0 0
I
TABLE 6
Grouping of Urine Culture Positive Cases According to all the three parameters
Groups
Findings
Urinary Symptoms I.V.P, Isotope Renogram No. Percent
Urinalysis
I A A A 7 43.7
II A N A 2 12-5
III N N A 4 25.0
IV N N N 3 18.8
Rosencranz, 1940 and Medlar, 1942). On the findings. Various investigators from time to
other hand, the yield of positive urine culture time have emphasized that bacilluria due to
for M. tuberculosis in osteo-articular group M. tuberculosis can exist without causing
was 14%. Higher percentage of urine culture clinical manifestations (Cunningham, 1911;
positivity in osteo-articular group has been Bernstein, 1914; Hobbs, 1923). These investireported
(Harris. 1928; Mclell and Davis, 1942; gators also believed that bacilluria with M.
Snellman 1950).
tuberculosis could occur in the absence of renal
lesions and was not necessarily a proof of
On routine urinalysis, overall abnormality genito-urinary tuberculosis,
in urine was present in 9 (56-2%) of 16 culture
positive cases and 7 (43.8%) had normal To study the frequency to this occurrence, we
urine analysis. Bentz et al (1975) reported performed isotope renography and intravenous
that a total of 58% urine culture positive pyelography (I.V.P.) in these 16 patients with
cases in their series were having normal urine tuberculous bacilluria. Isotope renography de-
Ind. J. Tab., Vol. XXIX, No. 4