A non-functioning left kidney from renal tuberculosis: a case report

Abstract

This is a 25-year old petty trader with 2-year history of recurrent left flank pains, an uneventful pregnancy, a ballotable tender, irregular left kidney and a renal sonogram suggestive of chronic pyelonephritis with intra-renal abscesses. Intravenous urogram showed a non-functioning left kidney. She had a left nephrectomy with histology showing focal segmental glomerulosclerosis with extensive areas of necrosis, acute on chronic inflammation with formation of foreign body and Langerhans type giant cells suggestive of renal tuberculosis. She made an uneventful recovery with stable renal function.