RENAL TUBERCULOSIS IN AN AUSTRALIAN-BORN CHILD

This report describes a case of renal tuberculosis, complicated by hyp ertension and ureteric obstruction, in a previously well Australian bo rn child. Despite antituberculous chemotherapy and ureteric stenting, there was a progressive loss of renal function in the right kidney unt il surgical nephrectomy allowed full recovery. A high level of clinica l suspicion is necessary for a diagnosis of genitourinary tuberculosis . Ureteric cicatrisation and obstruction occasionally may occur with h ealing, and therefore serial renal tract imaging during treatment is n ecessary to detect this complication.