Open AccessUrinary mycobacterium avium presenting as sterile pyuria
Author(s) -
Kai Yang,
Mary K. Samplaski,
Tony Mazzulli,
Kirk Lo,
Ethan Grober,
Keith Jarvi
Publication year - 2016
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.3363
Subject(s) - pyuria , urine , urinary system , medicine , asymptomatic , mycobacterium tuberculosis , tuberculosis , dermatology , pathology
A 65-year-old healthy woman presented with persistent, asymptomatic sterile pyuria detected by her family physician. While she did not have symptoms, the patient recounts that she has had cloudy urine for years. Cultures of the urine for bacteria showed no growth and no fungi were identified. First-morning urine samples were sent for both tuberculosis and nontuberculosis mycobacterium species testing. The culture grew genotypically identified Mycobaterium avium complex (MAC). Mantoux skin testing was positive. No urological abnormalities were detected by ultrasound and computed tomography (CT) imaging of the urinary tract.