Isolated scrotal tuberculosis mimicking cancer: Case presentation

Authors

Keywords:

orchiepididymitis, Mycobacterium tuberculosis, extrapulmonary tuberculosis

Abstract

Tuberculosis is an infectious granulomatous disease caused by Mycobacterium Tuberculosis. Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis. Without a clear history of tuberculosis, it represents a diagnostic dilemma. This case is presented to disseminate the importance of adequate screening and interrogation for an early diagnosis of genitourinary tuberculosis. A 59-year-old male patient, with long-standing epididymitis orchitis, refractory to urological treatment, characterized by repetitive urinary symptoms accompanied in the last stage by intense spontaneous pain with a palpable volume increase in the left scrotal, interpreted as a neoplasm in imaging study, undergoes surgery. It is important to investigate, carry out a precise medical interview, and imaging studies; as well as the inclusion of tuberculosis as a possible differential diagnosis of scrotal masses in older adults with genitourinary disease, due to its different presentations, follow-up, prognosis and treatment.

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Author Biographies

Lidia Martínez Ramos, Hospital Universitario Miguel Enrique.. La Habana.

Especialista de Ii grado en Anatomía Patológica Máster en Bioética Investigadora Agregada. Profesora Auxiliar. Hospital Universitario Miguel Enríquez. La Habana.

Haydeé Roberta Pérez Pérez, Facultad de Ciencias Médicas Miguel Enríquez. La Habana.

Especialista de I grado en Imagenología. Máster en Medios diagnósticos para el primer nivel de atención en salud. Profesora Asistente.

Silvia María Pozo Abreu, Hospital Docente Clínico Quirúrgico 10 de Octubre. La Habana.

Especialista de II grado en Medicina General Integral. Especialista de I grado en Bioestadística.Máster en Bioética Asistente.Hospital Docente Clínico Quirúrgico 10 de Octubre. La Habana.

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Published

2023-12-28

How to Cite

1.
Martínez Ramos L, Pérez Pérez HR, Pozo Abreu SM. Isolated scrotal tuberculosis mimicking cancer: Case presentation. Medimay [Internet]. 2023 Dec. 28 [cited 2024 Oct. 16];30(4):505-8. Available from: https://medimay.sld.cu/index.php/rcmh/article/view/2324

Issue

Vol. 30 No. 4 (2023)

Section

CASE REPORTS

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