Abstract
Despite the genitourinary tract being the most common site affected by extrapulmonary TB, isolated testicular TB remains a rare clinical entity. In patients with co-morbidities such as hepatic impairment, treatment proves a challenge, as first-line hepatotoxic pharmaceuticals are contraindicated. Here, we report a case of isolated testicular TB with scrotal involvement, on a background of hepatic dysfunction.
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References
Cantwell CF, Snider DE, Cauthen GM et al (1994) Epidemiology of tuberculosis in the United States, 1985 through 1992. JAMA 272:535–539
Muttarak M, Lojanapiwat B, Chaiwun B et al (2002) Preoperative diagnosis of bilateral tuberculous epididymo-orchitis following intravesical bacillus Calmette–Guérin therapy for superficial bladder carcinoma. Australas Radiol 46:183–185
Shah H, Shah K, Dixit R et al (2004) Isolated tuberculous epididymo-orchitis. Indian J Tuberc 51:159–162
Biswas M, Rahi R, Tiwary SK et al (2006) Isolated tuberculosis of testis. Kathmandu Univ Med J 13:98–99
Muttarak M, Wilfred CG (2006) Case 91: tuberculous epididymo-orchitis. Radiology 238:748–751
Viswaroop BS, Kekre N, Gopalakrishnan G (2005) Isolated tuberculous epididymitis: a review of forty cases. J Postgrad Med 51:109–111
Varghese A, Vandervelde C, Liju A et al (2007) Miliary tuberculosis induced by intravesical Bacille Calmette–Guerin (BCG) immunotherapy for bladder carcinoma: a case report. Eur J Radiol Extra 64:5–9
Chung J, Kim M, Lee T et al (1997) Sonographic findings in tuberculosis epididymitis and epididymo-orchitis. J Clin Ultrasound 25:390–394
Moussa OM, Eraky I, El-Far MA et al (2000) Rapid diagnosis of genitourinary tuberculosis by polymerase chain reaction and non-radioactive DNA hybridisation. J Urol 164:584–588
Carl P, Stark L (1997) Indications for surgical management of genitourinary tuberculosis. World J Surg 21:505–510
Zaleskis R (2005) Post-graduate course ERS Copenhagen 2005: the side effects of TB therapy. Breathe 2:69–73
Ungo JR, Jones D, Ashkin D et al (1998) Antituberculosis drug-induced hepatotoxicity: the role of hepatitis C virus and the human immunodeficiency virus. Am. J Respir Crit Care Med 157:1871–1876
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Bhargava, A., Davenport, C., Gibbons, N. et al. TB or not TB?: a case of isolated testicular TB with scrotal involvement. Ir J Med Sci 178, 231–233 (2009). https://doi.org/10.1007/s11845-008-0157-8
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DOI: https://doi.org/10.1007/s11845-008-0157-8