Case report: Epididymal tuberculosis abscess in patient immunocompetent

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

doi:10.1016/j.eucr.2021.101573

Case report: Epididymal tuberculosis abscess in patient immunocompetent

Urol Case Rep. 2021 Jan 21:36:101573. doi: 10.1016/j.eucr.2021.101573. eCollection 2021 May.

Authors

Abdi El Mostapha¹, Al Afifi Mahmoud¹, Nedjim Abdelkerim Saleh¹, Dakir Mohamed¹, Debbagh Adil¹, Aboutaieb Rachid¹

Affiliation

¹ CHU IBN ROCHD, Casablanca, Morocco.

Abstract

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.

Keywords: Abscess; Cyst; Epididymis; Genito-urinary tuberculosis.

Publication types

Case Reports