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M. tuberculosis is a rare cause of retroperitoneal disease and when it does occur more commonly gives rise to tubercular pseudotumours and retroperitoneal abscesses [5,6].Confluent peritoneal lymphadenopathy may cause secondary oedema and thus ureteric obstruction, mimicking CP [6,7].CP may also occur secondary to spinal, peritoneal or haematogenous spread of distant M. tuberculosis infection [3,8].In this case the initial tubercular focus may have been pulmonary, with precipitation of overt clinical symptoms following systemic corticosteroid therapy.TB-related CP has a good outcome with adequate antitubercular therapy [3,7], making this a treatable cause of CP.
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Lloyd et al. (2005) studied this question.
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