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August 12, 1974

Atypical Mycobacteriosis of the Urinary Tract: A Case Report of Extensive Disease Caused by the Battey Bacillus

Author Affiliations

From the Department of Urologic Surgery, University of Minnesota Health Sciences Center, Minneapolis.

JAMA. 1974;229(7):816-817. doi:10.1001/jama.1974.03230450050027

CHRONIC pulmonary disease caused by atypical mycobacteria is a well-recognized entity characterized by granulomatous lesions resembling those of tuberculosis. Involvement of the urinary tract by these organisms is not so well known, with only two case reports in the literature.1,2 The case reported here is the first instance wherein a Runyon type 3 organism has been shown capable of producing the same extensive clinical and roentgenographic patterns seen in tuberculosis.

Report of a Case  A 62-year-old woman gave a six-month history of frequency, urgency, nocturia, and suprapubic and right lower quadrant pain that had been associated with gross hematuria for the previous two months. Born in southern Minnesota, she has lived there since. As a young adult, she had transient episodes of left midabdominal and left flank pain. There has not been any known contact to tuberculosis. No further symptoms had developed until 1970, when she was treated for