<?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>S2007-40852021000400007</article-id>
<article-id pub-id-type="doi">10.48193/rmu.v81i4.772</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presentación de reporte de caso: Estallido renal espontaneo por tuberculosis]]></article-title>
<article-title xml:lang="en"><![CDATA[Presentation of case report: Spontaneous Renal outbreak 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>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>81</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852021000400007&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 es pulmonar, seguido de localización genitorurinaria en su manifestación extrapulmonar, con predominio renal, epidídimo y prostático respectivamente. La clínica es inespecífica, se sospechada en pacientes con patológicas crónicas o diagnóstico previo de tuberculosis pulmonar. El diagnostico estándar de oro es la identificación del bacilo en orina, y existen técnicas infrecuentes como la inyección de tuberculina. Su tratamiento está basado en 4 fármacos (isoniazida, rifampicina, etambutol y pirazinamida) hasta terapias combinadas y su duración va de acuerdo con la clínica y características del paciente.  Objetivo: Se presenta el caso de una paciente joven con estallido espontaneo renal asociado a tuberculosis con tratamiento médico e intervención quirúrgica de urgencia y deterioro multisistémico, asociado a shock hemodinámico. Dando a entender la importancia del diagnóstico diferencial en estos casos.  Discusión:  La tuberculosis genitourinaria se caracteriza por un cuadro clínico inespecífico dificultando el diagnóstico oportuno, la clínica se relaciona con el órgano comprometido sospechando en pacientes con alteraciones crónicas, nutricionales e inmunodeficiencia, siendo de vital importancia un diagnóstico rápido y tratamiento efectivo individualizando cada paciente. 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 extrapulmonary 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 renal flare associated with tuberculosis with medical treatment and emergency surgery and multisystemic deterioration associated with hemodynamic shock.  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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