Testicular tuberculosis presenting with metastatic intracranial tuberculomas only: a case report
| Autor: | Oku S Bassey, Clement A. Okolo, Samson O Ukperi, AO Ogunseyinde, Godwin Ogbole |
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| Jazyk: | angličtina |
| Předmět: |
Medicine(all)
medicine.medical_specialty Tuberculosis business.industry lcsh:R lcsh:Medicine Case Report General Medicine Delayed diagnosis medicine.disease Surgery Hemiparesis Surgical oncology Pathognomonic medicine Radiology Presentation (obstetrics) medicine.symptom business Complication Testicular cancer |
| Zdroj: | Journal of Medical Case Reports, Vol 5, Iss 1, p 100 (2011) Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/1752-1947-5-100 |
| Popis: | Introduction Intracranial tuberculomas are a rare complication of tuberculosis occurring through hematogenous spread from an extracranial source, most often of pulmonary origin. Testicular tuberculosis with only intracranial spread is an even rarer finding and to the best of our knowledge, has not been reported in the literature. Clinical suspicion or recognition and prompt diagnosis are important because early treatment can prevent patient deterioration and lead to clinical improvement. Case presentation We present the case of a 51-year-old African man with testicular tuberculosis and multiple intracranial tuberculomas who was initially managed for testicular cancer with intracranial metastasis. He had undergone left radical orchidectomy, but subsequently developed hemiparesis and lost consciousness. Following histopathological confirmation of the postoperative sample as chronic granulomatous infection due to tuberculosis, he sustained significant clinical improvement with antituberculous therapy, recovered fully and was discharged at two weeks post-treatment. Conclusion The clinical presentation of intracranial tuberculomas from an extracranial source is protean, and delayed diagnosis could have devastating consequences. The need to have a high index of suspicion is important, since neuroimaging features may not be pathognomonic. |
| Databáze: | OpenAIRE |
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