Iranian Journal of Pathology

Unilateral Tuberculous Epididymo- Orchitis with Scrotal Fistula: a Case Report

Document Type : Case Reports

Authors

Hadiseh Hosamirudsari 1
Farzaneh Mohammadizia 2

1 Infectious Diseases Clinic, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran

2 Dept. of Pathology, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran

10.7508/ijp.2015.02.013
Abstract
Tuberculosis (TB) global prevalence remains almost unchanged over the past few decades. Though genitourinary tract tuberculosis is common, it is rarely associated with scrotal fistula. We present  a rare case of advanced tuberculous epididymo-orchitis (TBEO) which culminated in removing the testis. Before final diagnosis is made, it was unresponsive to empirical therapy of bacterial epididymo-orchitis. The approaches to this case were clinical, radiological and histopatologic. For treatment and follow up see the case report.

Keywords

Epididymitis
Orchitis
Fistula
tuberculosis
  1. Shugaba AI, Rabiu AM, Uzokwe C, Mattew RM. Tuberculosis of the testis: A case report. Clin Med Insight: Case Rep. 2012; 5: 169–172.
  2. WHO. Tuberculosis profile of Iran. 2014. Available from: http:// www.who.int/tb/data.
  3. Madeb R, Marshal J, Nativ O, Erturk E. Epididymal Tuberculosis: case report and review of the literature. Urology 2005; 65(4):798.e22-4.
  4. Kapoor R, Ansari MS, Mandhani A, Gulia A. Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis. Indian J Urol 2008; 24(3): 401–405.
  5. Wise GJ, Venkata KM. Genitourinary manifestation of tuberculosis. Urol Clin N Am 2003;30(1):111-21.
  6. Shah H, Shah K, Dixit R, Shah KV. Isolated Tuberculous epididymo-orchitis.. Indian J Tuberc 2004;51: 159-62.
  7. Veenema RJ, Lattimer JK. Genital tuberculosis in the male: clinical pathology and effect on fertility. J Urol 1957; 78(1):65-77.
  8. Yu-Hung Lai A, Lu SH, Yu HJ, Kuo YC, Huang CY. Tuberculous epididymitis presenting as huge scrotal tumor. Urology 2009; 73(5): 1163e5-7.
  9. Heaton ND, Hogan B, Michell M, Thompson P, YatesBell AJ. Tuberculose epidedymo-orchitis: clinical and ultrasound observations. Br J Urol 1989; 64(3):305-9.
  10. Center for Disease Control and Prevention. Nucleic acid  amplification  tests  for  tuberculosis. Morb Mortal Wkly Rep 1996; 45: 950-2.
  11. Ferrie BG, Rundle JS. Tuberculous epididymo-or chitis. A review of 20 cases. Br J Urol 1983;55(4):437-9.
  12. Cos LR, Cockett AT. Genitourinary tuberculosis revisited. Urology 1982; 20(2): 111-7.
  13. Daher EDF, da Silva Junior GB, Pinherino HCF, de Oliveria TR, Vilar MDLL, de Alcantara KJ. Erythema induratum of Bazin and renal Tuberculosis; report of association. Rev Inst Med Trop S Paulo. 2004; 46(5): 295-8.
  14. Oben FT, Wright RD, Ahaghotu CA. Tuberculous epididymitis with extensive retroperitoneal and mediastinal involvement. Urology 2004;64(1): 156-8.
  15. Kulchavenya E, Khomyakov V. Male genital tuberculosis in Siberians. World J Urol 2006; 24(1):74-8.
  16. Garcia IG, Mampaso EG, Revilla JB, Molina MR, Crespo AS, Buitrago LA, et al.Tuberculous Orchiepididymitis during 1978- 2003 Period: Review of 34 Cases and Role of 16SrRNA Amplification. Urology 2010; 76(4):776-81.
  17. Wolf JS, McAnich JW. Tuberculous epididymoorchitis:  diagnosis  of  fine  needle  aspiration.  J  Urol 1991; 50(3):243-9.
Iranian Journal of Pathology
Volume 10, Issue 2 - Serial Number 2
Spring 2015
Pages 165-168

  • Receive Date 07 January 2014
  • Accept Date 31 May 2014

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