Abstract
There is an increasing number of cases of isolated genital tuberculosis. However, it remains challenging to diagnose this condition. The clinical manifestation is often nonspecific. There are no specific and sensitive noninvasive investigations to help confirm its diagnosis. We report the case of a young patient who presented at the Urology Clinic with chronic left scrotal swelling. We initially considered the diagnosis of either epididymal-testicular tuberculosis or left testicular tumor. An epididymal biopsy was taken. The histology report of the biopsy confirmed the diagnosis of epididymal tuberculosis.
References
Fillion A, Koutlidis N, Froissart A, Fantin B. Prise en charge diagnostique et thérapeutique de la tuberculose urogénitale. Rev Médecine Interne. 2014;35(12):808-814. https://doi.org/10.1016/j.revmed.2014.07.006
Bedi N, Rahimi MNC, Menzies S, Kalsi J. Atypical testicular pain. BMJ Case Rep. 2019;12(2):e226697. https://doi.org/10.1136/bcr-2018-226697
Dékou A, Konan PG, Kouamé B, Ougenin GA. L’apport de l’imagerie dans le diagnostic de la tuberculose uro-génitale (TUG): Une analyse de 4 observations et revue de la littérature. Afr J Urol. 2009;15(3):220-226. https://doi.org/10.1007/s12301-009-0040-5
Ramachandran A, Das CJ, Razik A. Male genital tract tuberculosis: A comprehensive review of imaging findings and differential diagnosis. Abdom Radiol. 2021;46(4):1677-1686. https://doi.org/10.1007/s00261-020-02811-0
Zajaczkowski T. Review Articles Genitourinary tuberculosis: historical and basic science review: past and present. Cent Eur J Urol. 2012;65:182-187. https://doi.org/10.5173/ceju.2012.04.art1
Figueiredo AA, Lucon AM, Srougi M. Urogenital Tuberculosis. Schlossberg D, ed. Microbiol Spectr. 2017;5(1).
DOI: 10.1128/microbiolspec.TNMI7-0015-2016
Man J, Cao L, Dong Z, Tian J, Wang Z, Yang L. Diagnosis and treatment of epididymal tuberculosis: a review of 47 cases. PeerJ. 2020;8:e8291. https://doi.org/10.7717/peerj.8291
Acar MR, García CL, Cruz FJS. Intradermorreacciones en dermatología. Published online 2008:15.
Koutlidis N, Fillion A, Michel F. Tuberculose urogénitale. EMC - Urol. 2009;2(2):1-11. https://doi.org/10.1016/S1762-0953(09)33166-0
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Bakkali Issaoui Z et al.