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Extrapulmonary Tuberculosis with Seminal Vesicle Involvement in an Immunocompetent Patient
Padma Lahari Bayya1, Mohini Singh, S R Ramakrishnan
1Department of Internal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Abstract:
Extrapulmonary tuberculosis often presents diagnostic challenges due to its involvement in multiple organ systems. We report a case of a 54-year-old, immunocompetent man who presented with prolonged fever and a generalized seizure. Neuroimaging revealed ring-enhancing lesions suggestive of tuberculomas. Further evaluation demonstrated a seminal vesicle abscess and cervical lymphadenitis. Histopathology and microbiological analysis confirmed Tuberculosis. The patient was initiated on antitubercular therapy, along with anti-convulsants and steroids. This case highlights the importance of considering EPTB in patients with sterile pyuria, neurological symptoms, even in immunocompetent individuals without a pulmonary disease.
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