Isolated testicular tuberculosis: A case report

Autor: Salim Lachkar, Mamoun Diouri, Ahmed Ibrahimi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Urology Case Reports, Vol 57, Iss , Pp 102869- (2024)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2024.102869
Popis: Genitourinary tuberculosis (GUTB) constitutes 20 % of extrapulmonary TB cases, with isolated testicular involvement being rare (2–4%). This case details a 41-year-old male with chronic left scrotal swelling, fistulization, and purulent discharge, ultimately diagnosed with testicular tuberculosis. Diagnostic imaging and histopathology confirmed caseating granulomas and acid-fast bacilli. The patient underwent high inguinal orchidectomy and was treated with a standard four-drug anti-tuberculosis regimen. Postoperative semen analysis revealed persistent azoospermia, indicating permanent fertility impairment. This case underscores the importance of considering GUTB in differential diagnoses of testicular masses, particularly in TB-endemic regions.
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