BMJ Case Reports 2017; doi:10.1136/bcr-2017-221346
  • Unusual presentation of more common disease/injury

Tuberculosis epididymitis complicated by a cutaneous fistula

  1. Qingwei Robert Yan2
  1. 1Department of Medicine, New York University School of Medicine, New York, USA
  2. 2Department of Surgery, Alta Bates Summit Medical Center, Berkeley, California, USA
  1. Correspondence to Dr Scott A Weisenberg, scottweisenberg{at}
  • Accepted 1 November 2017
  • Published 9 November 2017


A 63-year-old man developed scrotal swelling that became bilateral over 2 months. His symptoms persisted after treatment for epididymitis, and he developed a scrotal fistula with drainage. Mycobacterium tuberculosis grew from the urine and fistula. His symptoms resolved and fistula closed with medical therapy. His case highlights the importance of early recognition, diagnosis and treatment of this form of extrapulmonary tuberculosis.


  • Contributors SAW and QRY were involved in the patient’s care. Both authors have created and approved the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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