<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852021000500007</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v81i5.791</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presentación de reporte de caso: estallido renal espontáneo por tuberculosis]]></article-title>
<article-title xml:lang="en"><![CDATA[Presentation of a case report: spontaneous kidney rupture due to tuberculosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero-Rodríguez]]></surname>
<given-names><![CDATA[Wilmer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro-Mejía]]></surname>
<given-names><![CDATA[Johana Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camelo-Pardo]]></surname>
<given-names><![CDATA[Gianmarco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Angarita]]></surname>
<given-names><![CDATA[Diego Isaac]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinzón-Mantilla]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Internacional de Colombia  ]]></institution>
<addr-line><![CDATA[Santander ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>81</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852021000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852021000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852021000500007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La tuberculosis es responsable de la mayoría de las muertes asociadas a enfermedad infecciosa. El principal compromiso de la entidad es a nivel pulmonar, seguido de localización genitourinaria en su manifestación extrapulmonar, con predominio renal, epidídimo y prostático respectivamente. La clínica es inespecífica y es sospechada en pacientes con patológicas crónicas o diagnóstico previo de tuberculosis pulmonar. El estándar de oro para el diagnóstico es la identificación del bacilo en orina, con diferentes técnicas diagnósticas hasta opciones poco frecuentes como la inyección de tuberculina. Su tratamiento está basado en una terapia tetraconjugada (isoniazida, rifampicina, etambutol y pirazinamida) hasta manejos combinados en cuadros con germen resistente, evaluando su duración de acuerdo a la clínica y las características del paciente.  Objetivo:  Se presenta el caso de una paciente joven con estallido espontáneo renal asociado a tuberculosis, quien requirió tratamiento médico e intervención quirúrgica de urgencia presentando deterioro multisistémico asociado a choque hemodinámico, recalcando la importancia del diagnóstico diferencial oportuno, intervenciones farmacológicas y quirúrgicas inmediatas en los pacientes con trauma renal y deterioro clínico.  Discusión:  La tuberculosis genitourinaria se caracteriza por un cuadro clínico inespecífico dificultando el diagnóstico oportuno, la clínica se relaciona con el órgano comprometido. Se sospecha en pacientes con alteraciones crónicas, nutricionales e inmunodeficiencia, siendo de vital importancia un diagnóstico rápido y tratamiento efectivo individualizando. En este reporte se presenta una paciente con múltiples antecedentes, con una complicación asociada a tuberculosis renal no descrita en la literatura, con intervención quirúrgica inmediata y deterioro en su evolución clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Tuberculosis is responsible for the majority of deaths associated with infectious disease. The main involvement in the lung followed by extra pulmonary genitorurinary location, with a predominance of the kidney, epididymis and prostate respectively. The symptoms are nonspecific, suspected in patients with chronic pathologies or a previous diagnosis of pulmonary tuberculosis. The Gold Standard is the identification of the Bacillus in urine or infrequent techniques such as tuberculin injection. In diagnosed patients, treatment is based on 4 drugs (isoniazid, rifampicin, ethambutol and pyrazinamide) up to combined therapies, the duration of treatment is according to the symptoms and characteristics of the patient.  Objective:  We present the case of a young patient with spontaneous kidney rupture associated with tuberculosis who required medical treatment and emergency surgical intervention, presenting multisystemic deterioration associated with hemodynamic shock. Emphasizing the importance of timely differential diagnosis, immediate pharmacological and surgical interventions in patients with renal trauma with clinical deterioration.  Conclusion:  Genitourinary tuberculosis is characterized by a nonspecific clinical picture making timely diagnosis difficult, the symptoms are related to the compromised organ, suspecting in patients with chronic, nutritional and immunodeficiency alterations, being of vital importance a rapid diagnosis and effective treatment evaluating each patient individually. In this report, a patient with multiple antecedents presents a complication of renal tuberculosis not described in the literature, with immediate surgical intervention and deterioration in her clinical evolution.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Mycobacterium]]></kwd>
<kwd lng="en"><![CDATA[Mycobactirum infections]]></kwd>
<kwd lng="en"><![CDATA[renal tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[epididymis]]></kwd>
<kwd lng="en"><![CDATA[prostate]]></kwd>
<kwd lng="en"><![CDATA[combined-modality therapy]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="es"><![CDATA[Mycobacterium]]></kwd>
<kwd lng="es"><![CDATA[infecciones por Mycobacterium]]></kwd>
<kwd lng="es"><![CDATA[tuberculosis renal]]></kwd>
<kwd lng="es"><![CDATA[epidídimo]]></kwd>
<kwd lng="es"><![CDATA[próstata]]></kwd>
<kwd lng="es"><![CDATA[terapia combinada]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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