case_images: PMC9168401_01
case_images: (a,b) Dense acute inflammation along with histiocytic aggregates (Urine smear, Giemsa, a x100; b, x400), (c) Epithelioid cell granuloma with inflammatory cells (Papanicolaou stain, x400), (d) Positive for Acid fast bacilli (AFB) (arrow) (Ziehl-Nielsen stain, x1000 oil immersion).
case_images: Cytojournal-19-34-g001.jpg
case_images: PMC9168401_01_Cytojournal-19-34-g001.jpg
case_images: F1
case_images: Figure 1 shows the cytological features of three consecutive urine samples in Giemsa- and Pap-stained smears. Three consecutive urine samples showed the presence of epithelioid cell granulomas and multinucleated giant cells along with reactive urothelial cells and inflammatory cells [Figure 1a-c]. Special stain for acid-fast bacilli (AFB) was positive [Figure 1d], thereby confirming the diagnosis of tuberculosis.
case_images: (a) Ultrasonography KUB and (b) computed tomography showing evidence of hydroureteronephrosis.
case_images: Cytojournal-19-34-g002.jpg
case_images: PMC9168401_01_Cytojournal-19-34-g002.jpg
case_images: F2
case_images: Contrast-enhanced computed tomography revealed similar findings [Figure 2a and b].