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Recurrent bilateral Mycobacterium bovis necrotizing epididymitis: a case report
Simon Grandjean-Lapierre1, Simon-Djamel Thiberville2, Mustapha Fellag1
1Aix-Marseille Univ, IRD, MEPHI, IHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, 13005, Marseille, France.
A rare case of recurrent Mycobacterium bovis epididymitis in a man was linked to drinking unpasteurized camel milk. This highlights the genitourinary tract as a potential site for M. bovis infection.
Area of Science:
- Infectious Diseases
- Microbiology
- Genitourinary Medicine
Background:
- Mycobacterium bovis causes zoonotic tuberculosis.
- Veterinary controls and milk pasteurization reduced M. bovis in developed nations.
- M. bovis can disseminate to the genitourinary tract.
Observation:
- A 63-year-old man presented with recurrent epididymitis.
- No signs of pulmonary or disseminated M. bovis disease were observed.
- Epidemiological history included camel milk consumption in Niger.
Findings:
- Diagnosis of M. bovis epididymitis confirmed via mass spectrometry and DNA sequencing.
- Surgical biopsy of epididymis specimens was crucial for diagnosis.
- Recurrent infection was managed with epididymectomy and hydrocele repair.
Implications:
- Isolated epididymis infection is a novel presentation of M. bovis disease.
- The genitourinary tract can serve as a site for M. bovis latency and secondary spread.
- This case underscores the importance of considering M. bovis in genitourinary infections, especially with relevant travel history.
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