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Case report: Epididymal tuberculosis abscess in patient immunocompetent
Abdi El Mostapha1, Al Afifi Mahmoud1, Nedjim Abdelkerim Saleh1
1CHU IBN ROCHD, Casablanca, Morocco.
Abstract:
Tuberculous epididymitis is caused by Mycobacterium tuberculosis. A 30-year-old patient, with a comorbidity of atrial fibrillation, presented with pain in the left testicular for 1 year. On physical examination revealed a patient febrile at 39 °C with a pain, Scrotal swelling. Laboratory tests, a hyperleukocytosis at 25000/mm3, CRP at 160 mg/l. Scrotal ultrasound showed a Collection of fluid. Surgical exploration found an abscessed cyst at the expense of the epididymis. Due to the risk of epididymis neoplasia, surgery therapy ended up in the course of pharmacotherapy and not after 6 weeks as recommended by the studies.
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