Unilateral Testicular Infarction a Very Rare Complication of Genital Tuberculosis: A Case Report and Literature Review.

IF 2 Q2 UROLOGY & NEPHROLOGY

Research and Reports in Urology Pub Date : 2023-10-31 eCollection Date: 2023-01-01 DOI:10.2147/RRU.S434046

Feysel Hassen Issack, Nahom Tadesse Bogale, Samater Mohammed Hassen, Abdulhafiz Idris Ibrahim, Abdurehman Mohamed Abdi, Tariku Mulatu Bore, Isak Omer Answar

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Abstract

Background: Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis in developing countries. Isolated genital TB is rare, but testicular infarction is an unusual complication of delayed management, in which surgical intervention is warranted.

Case presentation: A 29-year-old male non-smoker presents with painful left scrotal pain of 21 days. Initially managed with intravenous antibiotics, the disease progressed and resulted in testicular infarction. Left orchiectomy was performed, and the specimen was sent for histopathological examination, which revealed features consistent with a testicular tuberculous abscess.

Conclusion: Tuberculous epididymo-orchitis (TBEO) with testicular infarction was unusual. It is prudent to consider this in patients presenting with long-standing urinary symptoms, particularly in those unresponsive to the initial antibiotic therapy. It requires a high index of suspicion, especially in TB endemic areas.

Abstract Image

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单侧睾丸梗死是生殖器结核的一种罕见并发症：病例报告和文献复习。

背景：生殖道结核是发展中国家第二常见的肺外结核。孤立性生殖器结核是罕见的，但睾丸梗死是延迟治疗的一种不寻常并发症，需要手术干预。病例介绍：一名29岁男性，不吸烟，左阴囊疼痛21天。最初使用静脉注射抗生素治疗，病情进展并导致睾丸梗死。进行了左侧睾丸切除术，并将标本送去进行组织病理学检查，结果显示其特征与睾丸结核性脓肿一致。结论：结核性附睾睾丸炎（TBEO）合并睾丸梗死是不常见的。谨慎的做法是，在出现长期泌尿系统症状的患者中考虑这一点，尤其是那些对最初的抗生素治疗没有反应的患者。它需要很高的怀疑指数，尤其是在结核病流行地区。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research and Reports in Urology UROLOGY & NEPHROLOGY-

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.