Primary tuberculosis of the glans penis
Jose David Jimenez Parra1, Silvia Alvarez Bandres, Diego Garcia Garcia
1Servicio de Urologia. Hospital Virgen del Canino. Pamplona.Navarra.
Archivos Espanoles De Urologia
|April 3, 2014
Summary
Tuberculosis of the penis is rare but treatable. Prompt diagnosis and anti-tuberculosis therapy led to significant healing of glans penis lesions in a 64-year-old man.
Area of Science:
- Urology
- Dermatology
- Infectious Diseases
Background:
- Penile tuberculosis is an exceptionally rare condition.
- Few documented cases exist in medical literature, often presenting diagnostic challenges.
Observation:
- A 64-year-old male presented with a glans penis eruption unresponsive to initial antibiotic and antifungal treatments.
- Biopsy revealed chronic granulomatous inflammation with vasculitis, excluding malignancy.
Findings:
- Systemic evaluation for tuberculosis foci was negative, suggesting primary penile involvement.
- Anti-tuberculosis therapy initiated with Isoniazid and Piridoxine resulted in significant ulcer healing within five months.
Implications:
- Primary glans penis tuberculosis, though rare, should be considered in differential diagnoses to prevent treatment delays.
- Early initiation of anti-tuberculosis therapy is crucial for favorable patient outcomes.
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