Chronic epididymo-orchitis and scrotal ulcers

• Published in: BMJ case reports Vol. 2011; no. mar05 1; p. bcr0320102825
• Main Authors: AlZayyani, Najah Rashid, Wani, Abdul Majid, Al Miamini, Wail, Al Harbi, Zeyad S
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 08-03-2011; BMJ Publishing Group
• Series: Unusual association of diseases/symptoms
• Subjects: Adult; Antibiotics; Brucellosis; Chronic Disease; Epididymitis - complications; Epididymitis - microbiology; Genital Diseases, Male - etiology; Humans; Male; Middle-East; Orchitis - complications; Orchitis - microbiology; Patients; Scrotum; Tuberculosis; Tuberculosis, Male Genital - complications; Ulcer - etiology; Unusual Association of Diseases/Symptoms; Urine
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr.03.2010.2825

Extrapulmonary tuberculosis (TB) still presents a diagnostic and therapeutic challenge. Genitourinary TB constitutes about 20% of the extrapulmonary cases in regions where TB is endemic. Tuberculous infection of epididymis and testis is difficult to differentiate clinically from pyogenic infection, tumour or infarction. High-resolution sonography is currently the best readily available technique for imaging the scrotum and its contents, and accurate differentiation is important for proper diagnosis and treatment. The authors are presenting a unique case of chronic epididymo-orchitis with scrotal ulcers.