Tuberculosis epididymitis complicated by a cutaneous fistula

BMJ Case Rep. 2017 Nov 9:2017:bcr2017221346. doi: 10.1136/bcr-2017-221346.

Abstract

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.

Keywords: infections; tb And other respiratory infections; urinary and genital tract disorders.

Publication types

  • Case Reports

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Cutaneous Fistula / complications
  • Cutaneous Fistula / diagnosis*
  • Cutaneous Fistula / drug therapy
  • Diagnosis, Differential
  • Epididymitis / complications
  • Epididymitis / diagnosis*
  • Epididymitis / drug therapy
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification
  • Tuberculosis, Male Genital / complications
  • Tuberculosis, Male Genital / diagnosis*
  • Tuberculosis, Male Genital / drug therapy

Substances

  • Antitubercular Agents