Unilateral Testicular Tuberculosis: An Extra-Pulmonary Manifestation.
Khalid A Al-Hashimi,Umar N Said +1 more
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In this paper, the authors presented a case in a 48-year-old patient admitted to the surgical assessment unit in a hospital presenting with a unilateral painful testicular lesion and scrotal changes.Abstract:
The pathogenicity of Mycobacterium tuberculosis (M. tuberculosis) causes it to most commonly manifest within the respiratory system (pulmonary tuberculosis); however, 15% of cases undergo extra-pulmonary spread to various organs. Genitourinary tuberculosis (GUTB) is a rare form of tuberculosis infection which has a propensity to affect the genitourinary tract, primarily affecting the kidneys, epididymis, seminal vesicles and prostate; however, 0.5% of cases result in infection of the testicles. This may present unilaterally or bilaterally with varying atypical presentations, thus misleading physicians in diagnosis. We present a case in a 48-year-old patient admitted to the surgical assessment unit in our hospital presenting with a unilateral painful testicular lesion and scrotal changes. He was admitted nine weeks prior for unexplainable constitutional symptoms however presented again whilst awaiting follow up in an outpatient clinic. Ultrasound guidance and fine-needle aspiration & culture (FNAC) of the lesion resulted in a positive diagnosis for M. tuberculosis. He underwent anti-tuberculous chemotherapy treatment for six months as per clinical guidance with adequate clinical response.read more
Citations
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Tuberculosis of the testis and its appendages
TL;DR: The lecture analyzed a number of clinical observations and described an example of tuberculosis of the scrotal organs, when the disease would be diagnosed during the patient’s initial visit to the doctor.
Journal ArticleDOI
Testicular Tuberculosis: Two Rare Case Report
TL;DR: Tuberculosis is especially common in African countries where HIV is common as mentioned in this paper , although pulmonary tuberculosis is generally seen, testicular tuberculosis can rarely be seen in young men, and it is not possible to study acid-resistant bacilli, polymerase-chain reaction and culture due to financial impossibility.
References
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Rein M G J Houben,Peter J. Dodd +1 more
TL;DR: Investment in new tools to improve diagnosis and treatment of those with LTBI at risk of progressing to disease is urgently needed to address this latent reservoir if the 2050 target of eliminating TB is to be reached.
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TL;DR: A high-level overview of what is known about tuberculosis transmission is provided, using the tuberculosis transmission cascade as a framework, and to set the scene for the articles in this series, which address specific aspects of tuberculosis transmission.
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Tuberculous epididymitis and epididymo-orchitis: sonographic appearances.
Journal ArticleDOI
Tuberculous epididymitis and epididymo-orchitis : sonographic findings
Seung Ho Kim,Seung Ho Kim,Howard M. Pollack,Howard M. Pollack,Kyung S. Cho,Kyung S. Cho,Matthew S. Pollack,Matthew S. Pollack,Man C. Han,Man C. Han +9 more
TL;DR: In 6 patients with tuberculous epididymitis the testes were also involved (epididymo-orchitis), and the most notable sonographic findings were an enlarged epididymis, predominantly in the tail portion, and marked heterogeneity of the echo texture of the involved epididysis.
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Case 91: Tuberculous Epididymo-orchitis.
Malai Muttarak,Wilfred C. G. Peh +1 more
TL;DR: A 65-year-old man presented with left scrotal pain and swelling of 2 weeks duration, progressively increasing, and was treated with a course of broad-spectrum antibiotics, without improvement.