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[Recurrent orchiepididymitis, 6 months after likely miliary tuberculosis]
C Lacambra Calvet1, J Solís Villa
1Hospital Severo Ochoa, Leganés, Madrid, España.
Archivos Espanoles De Urologia
|July 31, 1999
Summary
Early diagnosis of tuberculous epididymo-orchitis is crucial to prevent sterility. This condition can mimic other infections or tumors, often with negative initial tests.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Tuberculous epididymo-orchitis presents diagnostic challenges.
- Increasing incidence of tuberculosis necessitates considering it in differential diagnoses.
Observation:
- A patient initially misdiagnosed with systemic candidiasis presented with recurrent epididymo-orchitis years later.
- Symptoms included prolonged fever, constitutional issues, and retinal exudates.
- Initial urine cultures and bacilli studies were negative; testicular ultrasound revealed an abscess.
Findings:
- The patient received standard anti-tuberculosis treatment (pyrazinamide, isoniazid, rifampicin).
- Despite treatment, the patient developed permanent sterility.
Implications:
- Tuberculous epididymo-orchitis can present acutely or subacutely, mimicking common infections or tumors.
- Negative initial investigations (chest X-ray, cultures) are common.
- Ultrasound-guided fine-needle aspiration biopsy is vital for early and accurate diagnosis.
- Prompt diagnosis is essential to prevent complications like sterility.