Malaysia's #1
Health Forum

TB can affect kidney ah?

Answered by: Dr Ramzdhan

Last Updated: July 29, 2019 8:56 AM

zulfiqarghani 13 months

Doctor, I have a friend who has to be hospitalised due to TB and the doctors said he was fortunate that the disease did not affect his kidneys. Can TB affect the kidneys and what will the complications be?

Dr Ramzdhan 14 months
General Practitioner

Hi, thank you for your question.
Tuberculosis (TB) is a serious infectious disese that mainly affects the lungs. It is commonly caused by Mycobacterium tuberculosis (human origin), and less commonly Mycobacterium bovis (bovine origin). If TB lesions in the lungs erode the walls of blood vessels and gain access into the vascular system, it can spread to other parts of the body through the bloodstream. However, these microorganisms can only survive and grow in a few sites in the body, such as the kidneys, bone marrow, fallopian tube, epididymis and brain. When these microoganisms grow in the kidneys, patients can develop renal TB. Renal TB can occur during an active disease in the lungs or as another infection on its own after a period of dormancy.

Patients usually experience symptoms similar to those in a urinary tract infection. These symptoms include pain in flanks, stomach, back or groin, nausea and vomiting, fever, increased need to urinate, pain during urination and changes in urine colour. Some patients may also have night sweats and weight loss, but these rarely happen. If they develop persistent pyuria (pus in the urine) and hematuria (blood in the urine), they should have a thorough examination of their urinary system. Tests to help diagnose renal TB are urine culture, mantoux test (TB skin test), intravenous urography (IVU), computerised tomography (CT) scan, ultrasound, or tissue biopsy of the kidneys and urinary tract. In the early stage of renal TB, the kidneys may become calcified. In the later stages, there may be changes in the kidney structure, such as distortion of kidney chambers, ureteral stricture (obstruction of the tube that drains urine from kidneys to bladder), and bladder fibrosis (thickening and scarring of bladder wall). These changes can render the kidneys non-functional and may progress to end-stage renal failure.

Last Updated: Mon Jul 29 2019 08:56:10 GMT+0000 (Coordinated Universal Time)
4.88
Online Consultation
Talk to a doctor or Nephrologist Specialist online about kidney problems from anywhere you are without having to queue anymore
Doctor Consult RM19.99 Specialist Consult From RM80
FREE Detailed Health Assessment
Prevention is better than cure. Is My Body Ready to Fight Infection? Find Out in only 5 short minutes!
Start FREE Health Assessment
Anonymous
Kidney & Prostate problems My father has kidney & prostate problems. Is taking kidney & prostate medicine every day. My uncle recommend him to take fortigen Powder as he always complaints his knee pain. can he take Fort… Read more...
7 months
jaliafiq
My father had kidney disease Hello doctor, my father had kidney disease and now doctor wants him to undergo dialysis. Can you give explaination about this procedure? I am worried about him. Thank you. Read more...
15 months
rudolph
Doctor told i’m at the ‘early stage’ kidney disease Doctor told i’m at the ‘early stage’ kidney disease. I dont quite understand. What are the different stages? How to treat ‘early stage’ kidney disease? Read more...
15 months
zulaiha
PCKD and kidney failure? I’m a PCKD patient. I have a question. Does everyone with PCKD develop kidney failure? Read more...
14 months
jeff
I’ve been having recurring kidney infection Hi I’ve been having recurring kidney infection (uti) for the past 6months. Antibiotics doesn’t seem to be working as it keeps coming back. What do i do? Tq Read more...
15 months
Ask Doctor For Free 10.10 Health Fest: RM10 off!