scispace - formally typeset
Search or ask a question
Journal Article•DOI•

Case series of genital tuberculosis

Aditi Chhonkar, Swagata Tambe, Yashant Aswani, Chitra S Nayak
01 Jul 2017-Indian Journal of Sexually Transmitted Diseases and AIDS (Indian J Sex Transm Dis AIDS)-Vol. 38, Iss: 2, pp 183-186
TL;DR: Two cases of nonhealing genital ulcers in immunocompetent males are seen, which are likely to be cases of extrapulmonary TB.
Abstract: Genital tuberculosis (TB) is a rare, comprising <0.5% cases of extrapulmonary TB. Among cases of genitourinary TB, glandular TB is even rarer. Its a diagnosis of exclusion. Most patients present later in the course of disease due to the associated stigma in view of site of involvement and the hesitancy on the patients's part. We saw two such cases of nonhealing genital ulcers in immunocompetent males.
References
More filters
Book Chapter•DOI•
Surgery of the Penis and Urethra

[...]

Gerald H. Jordan, Kurt A. McCammon
01 Jan 2012

163 citations

"Case series of genital tuberculosis..." refers background in this paper

  • ...Penile TB may occur as a primary lesion or secondary to pulmonary TB.[12] It may affect the glans, shaft of the penis, or cavernous bodies....

    [...]

  • ...[1] Genitourinary TB is an unusual presentation and has been reported in 0.5% of EPTB....

    [...]

  • ...[11] TB of the penis is extremely rare comprising 1% patients of genital TB. Penile TB may occur as a primary lesion or secondary to pulmonary TB.[12] It may affect the glans, shaft of the penis, or cavernous bodies....

    [...]

  • ... (c and d) Uninvolved left testicle is with  enlarged and nodular left epididymis (red arrows in c and d, longitudinal  scan), suggestive of tuberculous epididymo‑orchitis dc ba Indian Journal of Sexually Transmitted Diseases and AIDS Volume 38, Issue 2, July-December 2017 185 immunocompromised people[13] which is a severe necrotic form of glandular TB....

    [...]

Journal Article•DOI•
Genitourinary tuberculosis: historical and basic science review: past and present.

[...]

Thaddaeus Zajaczkowski
11 Dec 2012-Central European Journal of Urology 1\/2010
TL;DR: The diagnosis of TB of the urinary tract is based on the case history, the finding of pyuria in the absence of infection as judged by culture on routine media, and by radiological imaging.
Abstract: Genitourinary tuberculosis (GUTB) usually results from the reactivation of old, dormant tuberculous diseases by pathogens of the mycobacterium tuberculosis complex GUTB is the second most common form of extrapulmonary tuberculosis, with more than 90% of cases occurring in developing countries In GUTB, the kidneys are the most common sites of infection and are infected through hematogenous spread of the bacilli, which then spread through the renal and urinary tract Patients with genital and urethral TB present with a superficial tuberculous ulcer on the penis or in the female genital tract develop mainly due to primary contact with mycobacterium exposure during intercourse or inoculation via goods or chattels contaminated with mycobacterium The diagnosis of TB of the urinary tract is based on the case history, the finding of pyuria in the absence of infection as judged by culture on routine media, and by radiological imaging However, a positive yellow egg culture and/or histological analysis of biopsy specimens, possibly combined with the polymerase chain reaction (PCR), is still required in most patients to establish a definitive diagnosis of GUTB The standard antituberculous drug treatment should be administered initially for two months during the intensive phase with three or four drugs daily followed by dual continuation therapy for four months Surgery as a treatment option in GUTB might be indicated in complicated urinary tuberculosis After antituberculous treatment of GUTB, surveillance with regular follow-up visits over the next five years is recommended In cases of drug resistance, additional drugs and prolonged treatment are required Furthermore, increasing rates of drug-resistant cases and co-infection with HIV pose challenges in the treatment GUTB and other forms of TB

50 citations

"Case series of genital tuberculosis..." refers background in this paper

  • ...It is a common delayed manifestation of prior pulmonary tuberculosis.[6] The genitourinary tract involvement in TB is rare....

    [...]

Journal Article•DOI•
Tuberculosis of the Penis: A Report of 5 New Cases, and a Complete Review of the Literature

[...]

Evan L. Lewis1•
Johns Hopkins University1
01 Dec 1946-The Journal of Urology

47 citations

Journal Article•DOI•
Tuberculosis of the Penis

[...]

A. Sriman Narayana1, D. G. Kelly1, F. A. Duff1•
St. Vincent's Health System1
01 Aug 1976-BJUI

36 citations

Journal Article•DOI•
Penis Tuberculides: Papulonecrotic Tuberculides on the Glans penis

[...]

Chikako Nishigori, Taniguchi S, Minoru Hayakawa, Shinya Imamura
01 Jan 1986-Dermatology
TL;DR: Clinical features of this disease, which once used to be comparatively common in Japan, have recently decreased as the prevalence of tuberculosis has fallen, but the number of people affected by the disease has recently decreased.
Abstract: Two cases of penis tuberculides are described. Although this disease once used to be comparatively common in Japan, the number of people affected by the disease has recently decreased as the prevalence of tuberculosis has fallen. However, we can still find a few cases in the Japanese literature every year. Outside Japan, we can hardly find reports of this disease, except for a few cases reported under the title of ‘Papulonecrotic tuberculides on the penis’ from Northern European countries. In addition to reporting 2 cases, we summarize clinical features of this disease. Racial predisposition or endemic factors may be related to the tuberculides in such a special site.

35 citations

"Case series of genital tuberculosis..." refers background in this paper

  • ...immunocompromised people[13] which is a severe necrotic form of glandular TB....

    [...]