Urology Case Reports (May 2021)

Case report: Epididymal tuberculosis abscess in patient immunocompetent

  • Abdi El Mostapha,
  • Al Afifi Mahmoud,
  • Nedjim Abdelkerim Saleh,
  • Dakir Mohamed,
  • Debbagh Adil,
  • Aboutaieb Rachid

Journal volume & issue
Vol. 36
p. 101573

Abstract

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Tuberculous epididymitis is caused by Mycobacterium tuberculosis. A 30-year-old patient, with a comorbidity of atrial fibrillation, presented with pain in the left testicular for 1 year. On physical examination revealed a patient febrile at 39 °C with a pain, Scrotal swelling. Laboratory tests, a hyperleukocytosis at 25000/mm3, CRP at 160 mg/l. Scrotal ultrasound showed a Collection of fluid. Surgical exploration found an abscessed cyst at the expense of the epididymis. Due to the risk of epididymis neoplasia, surgery therapy ended up in the course of pharmacotherapy and not after 6 weeks as recommended by the studies.

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