Tuberculosis of kidneys. In a kidney of a micobacterium of a tuberculosis get hematogenic by. The nephrophthisis can Sometimes be display of an extending tuberculosis.

Pathogenesis. For occurrence of tubercular process in a kidney, except for penetration of a micobacterium, conditions favorable for them, a special immune pathological condition of an organism and a renal tissue are necessary. Diffusion of pathological process on urinary ways occurs on lymphatic ways.

Signs, current. In the beginning of illness there are no characteristic attributes. Complaints to delicacy, fatigability, the subfebrile temperature, combined blunt and acritical pains in lumbar area, force to investigate urine closely. The chronic pyuria - the most frequent display of a tuberculosis of kidneys, but also a microhematuria can be an early sign of disease. Wetting almost, always acidic reaction, contains many leucocytes, and the proteinuria is expressed a little. At crop of urine on usual mediums it remains sterile as micobacteria supersede other flora, and on usual mediums do not grow. The pyuria seldom forces the patient to address to the doctor, is more often it disturb an impurity of a blood in urine or attacks of a renal colic. Diffusion of pathological process on urinary ways is accompanied by intensifying of pains in lumbar area and an excruciating dysuria. Sometimes at late diagnostics of illness in process the urethra, a prostate and testicles with appendages are involved.