Tuberculous epididymitis caused by Mycobacterium bovis

To focus on the need of including tuberculosis among differential diagnoses of any epidymo-testicular mass, especially if its evolution is torpid. A 73-year-old man who presented with scrotum abscess underwent surgical drainage and antibiotic treatment, but suppuration relapsed through cutaneous fis...

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Bibliographic Details
Published in:Archivos españoles de urología Vol. 56; no. 2; p. 175
Main Authors: Mateos Colino, Alfonso, Sousa Escandón, Manuel Alejandro, Golpe Gómez, Rafael, García Figueras, Roberto, Pérez Valcarcel, Javier, Fernández, María Armesto
Format: Journal Article
Language:Spanish
Published: Spain 01-03-2003
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Summary:To focus on the need of including tuberculosis among differential diagnoses of any epidymo-testicular mass, especially if its evolution is torpid. A 73-year-old man who presented with scrotum abscess underwent surgical drainage and antibiotic treatment, but suppuration relapsed through cutaneous fistulae. A epipidymectomy was then performed, which demonstrated tuberculous granulomas. Torax Rx showed a cystic apical pulmonary wound which was treated with 3 antituberculostatics for 12 months. Sputum culture was positive for Micobacterium Bovis. Aspirative punction under sonographic control is a valuable technique to avoid mutilating surgeries and to permit an almost always effective treatment, before the appearance of permanent lesions which lead to sterility.
ISSN:0004-0614