GENITOURINARY TUBERCULOSIS IN CHILD

Background. - Tuberculosis of the uro-genital tract is uncommon in bat h sexes before puberty. Cases reports. - Case 1. A 10 year-old boy suf fered from chronic cystitis. Urine examination showed pyuria without b acteria and absence of mycobacterium tuberculosis on direct smears and culture. Intravenous pyelography showed left ureterohydronephrosis an d a nonfunctioning right kidney with calcifications. A right nephrecto my was performed which showed caseous lesions with granulomas. A tripl e specific therapy failed to completely cure the vesicoureteral lesion s. Case 2. A 9 year-old boy was admitted for the suspicion of appendic itis. Renal ultrasonography showed features of abscesses located to th e right kidney and the liver. Laparotomy showed their tuberculous orig in which was confirmed by histological examination and positive search for Mycobacterium tuberculosis in urine. The course was favorable und er specific treatment. Conclusions. - Diagnosis of tuberculosis of the uro-genital tract may be difficult leading to a delayed treatment and sequellae.