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Atypical testicular pain.
Bedi, Nishant; Rahimi, Muhammad Naim Che; Menzies, Sarah; Kalsi, Jas.
Afiliación
  • Bedi N; Urological Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK.
  • Rahimi MNC; Urological Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK.
  • Menzies S; Respiratory medicine, Frimley Health NHS Foundation Trust, Frimley, UK.
  • Kalsi J; Urological Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK.
BMJ Case Rep ; 12(2)2019 Feb 19.
Article en En | MEDLINE | ID: mdl-30787023
Testicular tuberculosis (TB) is rare, and, because of this, the lack of pathognomonic clinical features and its tendency to mimic other commoner conditions, the diagnosis is frequently delayed or may be missed. In this case, the initial clinical presentation was typical for bacterial epididymo-orchitis in a 38-year-old man. When the patient failed to improve with standard treatment including broadening of antibiotics, the diagnosis was re-considered because some unusual signs suggested testicular malignancy or lymphoma. Further, history-taking and subsequent cross-sectional imaging with CT/MRI identified co-existent pulmonary nodularity, thoracic and abdominal lymphadenopathy and bony changes that, together, raised the suspicion of TB. Mycobacterium tuberculosis was confirmed on DNA-based testing of the hydrocele fluid, although standard acid-fast bacilli culture was negative. This case prompted a review of the literature to explore the optimal steps in the investigation and diagnosis of this rare disease.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor / Enfermedades Testiculares / Tuberculosis Urogenital / Hidrocele Testicular / Mycobacterium tuberculosis Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies Límite: Adult / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor / Enfermedades Testiculares / Tuberculosis Urogenital / Hidrocele Testicular / Mycobacterium tuberculosis Tipo de estudio: Diagnostic_studies / Etiology_studies / Prognostic_studies Límite: Adult / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido