Description
The kidney shows extensive foetal lobulation, apparent on the outer surface, while the cut surface
shows almost complete destruction and replacement by caseous foci; the central part of these foci
contains greenish pus. There is very little renal parenchyma apparent.
History
This man had bilateral renal tuberculosis diagnosed in 1971, and was treated with
anti-tuberculous therapy. Clearly, he failed to respond, and ultimately went into renal failure. In 1976,
this kidney was removed; at some later stage the second kidney was removed, and he has been
treated subsequently by dialysis. In March 1978, he was still on home dialysis and working.