診断困難であつた尿路結核の1例

A CASE OF URINARY TUBERCULOSIS WITH DIFFICULTY IN DIAGNOSIS

　左腰痛，微熱を主訴に受診した40歳の男性にDIP，逆行性腎盂造影，膀胱鏡検査を施行し悪性腫瘍を疑い，精査の結果3回目の生検にて結核と診断し保存的に治癒した。近年典型的な尿路結核は減少しているとされているが，結核菌培養検査，生検は繰り返し根気強く施行することが重要であると思われた。

A 40-year old man was admitted to our hospital complaining of left lumbago and low grade fever. He was suspected to have urinary malignant tumor with D.I.P., R.P. and cystoscopy but diagnosed as tuberculosis by three times bladder biopsy. The incidence of typical urinary tuberculosis has a tendency to decrease in these days. It is most important that we should examine the urine culture to tubercle bacilli and biopsy repeatedly.