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Published on: September 5, 2017
[Tuberculous epididymitis caused by Mycobacterium bovis]
Alfonso Mateos Colino1, Manuel Alejandro Sousa Escandón, Rafael Golpe Gómez
1Servicio de Medicina Interna, Hospital Comarcal de Monforte, Lugo, España.
Tuberculosis should be considered in the differential diagnosis of epididymo-testicular masses, particularly those with slow progression. Early diagnosis via sonographic-guided aspiration can prevent complications and preserve fertility.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Epididymo-testicular masses require careful differential diagnosis.
- Tuberculosis (TB) can present as a testicular mass, often with indolent progression.
Observation:
- A 73-year-old male presented with a recurrent scrotum abscess, ultimately diagnosed as tuberculosis.
- Pulmonary involvement was identified via chest X-ray, and Mycobacterium bovis was cultured from sputum.
Findings:
- Histopathology of the epididymectomy specimen revealed tuberculous granulomas.
- The patient was successfully treated with a 12-month course of anti-tuberculosis medication.
Implications:
- Sonographically guided fine-needle aspiration is crucial for diagnosing epididymo-testicular tuberculosis.
- Timely diagnosis and treatment can prevent extensive surgical intervention and potential sterility.
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