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Case Report

Atypical presentation of a case of renal tuberculosis and cardiac muscle bypass

By
Kerly Apolo Loayza ,
Kerly Apolo Loayza

Hospital General Docente Ambato, Unidad de Cuidados Intensivos. Ciudad Ambato, Ecuador

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Mónica Gabriela Vásconez Chérrez ,
Mónica Gabriela Vásconez Chérrez

Hospital General Docente Ambato, Unidad de Cuidados Intensivos. Ciudad Ambato, Ecuador

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Sonnia Villegas Paredes ,
Sonnia Villegas Paredes

Hospital General Docente Ambato, Unidad de Cuidados Intensivos. Ciudad Ambato, Ecuador

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Sebastián Orozco Torres ,
Sebastián Orozco Torres

Clínica San Juan. Ambato, Ecuador

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Abstract

Tuberculosis is an endemic disease in several countries, despite having treatment and cure available. The most common form is pulmonary, but it can also affect any other organ or tissue. A male patient, 43 years old, with important sociodemographic history, as he lives at 3000 meters above sea level in a rural area of the Ecuadorian Sierra, presents acute weight loss and asthenia. He had two hospital admissions with an interval of 1 month, during which he required intensive care for comprehensive management. During the first hospitalization, he presented abdominal septic shock, acute renal failure, and acute myocardial infarction. Coronary angiography was performed, which revealed a muscular bridge in the anterior descending artery. During the second hospitalization, he presented septic shock with a urinary focus. As the symptoms were similar and no underlying diagnosis was found to trigger instability, a simple and contrast-enhanced CT scan was performed, which showed suggestive images of a renal abscess and bilateral apical nodules with a tree-in-bud pattern in the chest. Therefore, a study was performed to detect tuberculosis.

How to Cite

1.
Apolo Loayza KY, Mónica Gabriela, Villegas Paredes SL, Orozco Torres PS. Atypical presentation of a case of renal tuberculosis and cardiac muscle bypass. Salud, Ciencia y Tecnología [Internet]. 2023 Mar. 30 [cited 2024 Jul. 20];3:335. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/335

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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