Abstract
Objectives:
To focus on the need of including tuberculosis among differential diagnoses of any epidymo-testicular mass, especially if its evolution is torpid.
Methods/results:
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.
Conclusions:
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.
Publication types
-
Case Reports
-
English Abstract
-
Review
MeSH terms
-
Abscess / microbiology
-
Aged
-
Animal Husbandry
-
Animals
-
Anti-Bacterial Agents
-
Antitubercular Agents / therapeutic use
-
Cattle
-
Drug Therapy, Combination / therapeutic use
-
Epididymitis / diagnosis
-
Epididymitis / drug therapy
-
Epididymitis / microbiology*
-
Humans
-
Isoniazid / therapeutic use
-
Male
-
Mycobacterium bovis / isolation & purification*
-
Occupational Diseases / diagnosis
-
Occupational Diseases / drug therapy
-
Occupational Diseases / microbiology*
-
Pyrazinamide / therapeutic use
-
Rifampin / therapeutic use
-
Scrotum
-
Tuberculosis, Bovine
-
Tuberculosis, Male Genital / diagnosis
-
Tuberculosis, Male Genital / drug therapy
-
Tuberculosis, Male Genital / microbiology*
Substances
-
Anti-Bacterial Agents
-
Antitubercular Agents
-
Pyrazinamide
-
Isoniazid
-
Rifampin