OBJECTIVE: We present the case of a patientwith urogenital and osteoarticular tuberculosis.METHODS: Patient with end stage renal disease on hemod-yalisis in study for fever of unknown origin. Multiple diagnos-tic tests were performed.RESULTS: Medical treatment for tuberculosis was given withimpro-vement of the symptoms.CONCLUSION: The early urogram study can be crucial inthe diagnosis of urogenital tuberculosis in initial stages, thusavoiding the progressive deterioration of kidney function