Male genital tuberculosis

Çek, Mete

doi:10.1016/b978-1-4160-3988-4.00042-1

Cited by 1 publication

(18 citation statements)

References 24 publications

(28 reference statements)

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“…Epididymitis TB can progress to the testis, which should be suspected if a large epididymal mass or abscess is found. 12 However, in our patient, we did not nd any signs of abscess or scrotal stula, which could be one of the clinical complications of TB epididymitis.…”

Section: Discussioncontrasting

confidence: 56%

“…6,7 The prostate and epididymis are the most commonly affected sites, although other organs such as the testes, vas deferens, scrotum, seminal vesicles, urethra, and penis may also be affected. 12 Epididymitis TB can occur without clinical or laboratory evidence of renal involvement, known as isolated tuberculous epididymitis (ITE). 13 This condition is rare (approximately 20% of UGTB) and challenging to diagnose.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, ITE usually shows symptoms of gradual scrotal swelling followed by pain, although there may be no pain in a small proportion of cases. 12,13,16 The characteristics of epididymitis TB are gradual onset, starting with scrotal swelling followed by pain. 11,12 Complaints such as malaise, fever, and chills are common in ITE patients.…”

Section: Discussionmentioning

confidence: 99%

“…Physical examination of epididymitis TB may show an enlarged, irregular, nodular and tender epididymis. 6,12 Most cases are unilateral, although bilateral involvement may occur in as many as 30% and is often associated with male infertility due to obstruction of the epididymal tubules. 12,13 Supportive examinations needed to establish epididymitis TB include the Mantoux test, CXR, and bacteriological evidence in sputum and urine.…”

Section: Discussionmentioning

confidence: 99%

“…6,12 Most cases are unilateral, although bilateral involvement may occur in as many as 30% and is often associated with male infertility due to obstruction of the epididymal tubules. 12,13 Supportive examinations needed to establish epididymitis TB include the Mantoux test, CXR, and bacteriological evidence in sputum and urine. Urinalysis usually shows microscopic hematuria or sterile pyuria, which increases the suspicion of TB, although it is not a de nitive test for UGTB.…”

Section: Discussionmentioning

confidence: 99%

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Isolated Epididymitis Tuberculosis in an Adolescent Male: When Foresight Clinical Decisions Determine the Right Diagnosis

Cesilia,

Nugraha,

Siregar

et al. 2023

Preprint

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Background: Urogenital tuberculosis (UGTB) is one of the common extrapulmonary TB in children. One form of UGTB is epididymitis TB, which is reported rarely in children. Epididymitis TB presented with unspecific chronic clinical manifestation and definitive diagnosis made by bacteriological confirmation due to paucibacillary and histopathology findings. Case presentation: A 16-year-old boy had been admitted to the hospital due to painful swelling of the left scrotum in the last three month. Persistent coughing for 2 months was reported. Physical examination of the left scrotum showed swelling accompanied by cardinal signs. Palpable hard mass on the left scrotum, firm borders, pain, measuring 7x4 cm. Laboratory examination was within normal limits, tumor markers (AFP, CEA, LDH) within normal limits, and routine urinalysis showed leukocyturia. Genital ultrasound showed epididymitis sinistra with septal hydrocele. Genital MRI showed left epididymitis with bilateral inguinal lymph node enlargement. TB evaluation examination showed a PPD test of 0 mm and a negative bacteriologic examination, but CXR showed perihilar lymphadenopathy. The patient was diagnosed as isolated TB lymphadenitis and received quadruple ATT for two months, followed by RH for four months. After treatment, the size of the left testicle decreased and was equal to that of the right; no signs of inflammation were found, weight increased by 5 kg, and cough disappeared. However, sperm analysis at the end of treatment showed teratozoospermia. The patient is currently being treated for teratozoospermia by urologic surgery colleagues. Conclusions: Biopsy and culture testing for TB epididymitis confirmation are difficult to perform in the clinical setting. TB epididymitis should be considered in adolescent boys with complaints of chronic scrotal swelling and pain. Clinical judgment based on history taking, physical examination, and radiologic features supporting the picture of tuberculosis is helpful to diagnose correctly and quickly for a favorable outcome.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Isolated Epididymitis Tuberculosis in an Adolescent Male: When Foresight Clinical Decisions Determine the Right Diagnosis

Cesilia,

Nugraha,

Siregar

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Male genital tuberculosis

Cited by 1 publication

References 24 publications

Isolated Epididymitis Tuberculosis in an Adolescent Male: When Foresight Clinical Decisions Determine the Right Diagnosis

Isolated Epididymitis Tuberculosis in an Adolescent Male: When Foresight Clinical Decisions Determine the Right Diagnosis

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