Penile Tuberculosis : A Case Report
A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and pe...
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| Veröffentlicht in: | Hinyokika kiyo. Acta urologica Japonica 2017-04, Vol.63 (4), p.163-167 |
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| container_title | Hinyokika kiyo. Acta urologica Japonica |
| container_volume | 63 |
| creator | Imanaka, Takahiro Nomura, Hironori Tsujimura, Go Ko, Yoko Kinjyo, Takanori Yoshioka, Iwao Takada, Shingo Yahata, Yoko Mizutani, Tetsu |
| description | A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and performed a biopsy of the penis. The biopsy result was thickening of the horny layer epidermis with only a foreign body granuloma composed of inflammatory cells, and did not lead to a definitive diagnosis. Thoraca-abdominal computed tomography revealed axillary lymphadenopathy with necrosis. Suspecting tuberculosis lymphadenitis, we performed T-spot and QuantiFERONtests. The result was T-spot negative and QuantiFERONpositive, so we diagnosed the patient with penile tuberculosis, and started antituberculosis medication. In about half a year after the start of treatment the symptoms subsided, and lymphadenopathy showed reduction. |
| doi_str_mv | 10.14989/ActaUrolJap_63_4_163 |
| format | Article |
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He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and performed a biopsy of the penis. The biopsy result was thickening of the horny layer epidermis with only a foreign body granuloma composed of inflammatory cells, and did not lead to a definitive diagnosis. Thoraca-abdominal computed tomography revealed axillary lymphadenopathy with necrosis. Suspecting tuberculosis lymphadenitis, we performed T-spot and QuantiFERONtests. The result was T-spot negative and QuantiFERONpositive, so we diagnosed the patient with penile tuberculosis, and started antituberculosis medication. 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Acta urologica Japonica</title><addtitle>Hinyokika Kiyo</addtitle><description>A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and performed a biopsy of the penis. The biopsy result was thickening of the horny layer epidermis with only a foreign body granuloma composed of inflammatory cells, and did not lead to a definitive diagnosis. Thoraca-abdominal computed tomography revealed axillary lymphadenopathy with necrosis. Suspecting tuberculosis lymphadenitis, we performed T-spot and QuantiFERONtests. The result was T-spot negative and QuantiFERONpositive, so we diagnosed the patient with penile tuberculosis, and started antituberculosis medication. In about half a year after the start of treatment the symptoms subsided, and lymphadenopathy showed reduction.</description><subject>Aged</subject><subject>Biopsy</subject><subject>Diagnosis, Differential</subject><subject>Drug Combinations</subject><subject>Humans</subject><subject>Male</subject><subject>Multimodal Imaging</subject><subject>Penile Diseases - diagnostic imaging</subject><subject>Penile Diseases - drug therapy</subject><subject>Penile Diseases - pathology</subject><subject>Tuberculosis - diagnostic imaging</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis - pathology</subject><issn>0018-1994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tKxDAUQLNQnGGcT1AKbtxU720eTdyVwScDitR1SG5TKLTTmrQL_94Bx9XZHA4cxq4Q7lAYbe4rmt1XHPs3N1nFrbCo-BlbA6DO0RixYtuUOg_AQZQC5QVbFVqCAinW7OYjHLo-ZPXiQ6SlH1OXsoesynYuhewzTGOcL9l56_oUtiduWP30WO9e8v378-uu2ueTVCIn03iDZBCdbkmDhOCVkdhKKqRTjfCNoAKRQ-lkQwURGNS6bMER8tbzDbv9y05x_F5Cmu3QJQp97w5hXJJFfZxBEIof1euTuvghNHaK3eDij_3_4r9_Qk9P</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Imanaka, Takahiro</creator><creator>Nomura, Hironori</creator><creator>Tsujimura, Go</creator><creator>Ko, Yoko</creator><creator>Kinjyo, Takanori</creator><creator>Yoshioka, Iwao</creator><creator>Takada, Shingo</creator><creator>Yahata, Yoko</creator><creator>Mizutani, Tetsu</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201704</creationdate><title>Penile Tuberculosis : A Case Report</title><author>Imanaka, Takahiro ; Nomura, Hironori ; Tsujimura, Go ; Ko, Yoko ; Kinjyo, Takanori ; Yoshioka, Iwao ; Takada, Shingo ; Yahata, Yoko ; Mizutani, Tetsu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p564-c9db91c911a8fc8050eb6951f5c25a6d4bd4c211307a5dc2cc091887f0ac13fb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>jpn</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Biopsy</topic><topic>Diagnosis, Differential</topic><topic>Drug Combinations</topic><topic>Humans</topic><topic>Male</topic><topic>Multimodal Imaging</topic><topic>Penile Diseases - diagnostic imaging</topic><topic>Penile Diseases - drug therapy</topic><topic>Penile Diseases - pathology</topic><topic>Tuberculosis - diagnostic imaging</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis - pathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Imanaka, Takahiro</creatorcontrib><creatorcontrib>Nomura, Hironori</creatorcontrib><creatorcontrib>Tsujimura, Go</creatorcontrib><creatorcontrib>Ko, Yoko</creatorcontrib><creatorcontrib>Kinjyo, Takanori</creatorcontrib><creatorcontrib>Yoshioka, Iwao</creatorcontrib><creatorcontrib>Takada, Shingo</creatorcontrib><creatorcontrib>Yahata, Yoko</creatorcontrib><creatorcontrib>Mizutani, Tetsu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Hinyokika kiyo. Acta urologica Japonica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imanaka, Takahiro</au><au>Nomura, Hironori</au><au>Tsujimura, Go</au><au>Ko, Yoko</au><au>Kinjyo, Takanori</au><au>Yoshioka, Iwao</au><au>Takada, Shingo</au><au>Yahata, Yoko</au><au>Mizutani, Tetsu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Penile Tuberculosis : A Case Report</atitle><jtitle>Hinyokika kiyo. Acta urologica Japonica</jtitle><addtitle>Hinyokika Kiyo</addtitle><date>2017-04</date><risdate>2017</risdate><volume>63</volume><issue>4</issue><spage>163</spage><epage>167</epage><pages>163-167</pages><issn>0018-1994</issn><abstract>A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. 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| ispartof | Hinyokika kiyo. Acta urologica Japonica, 2017-04, Vol.63 (4), p.163-167 |
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| language | jpn |
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| source | MEDLINE; Freely Accessible Japanese Titles |
| subjects | Aged Biopsy Diagnosis, Differential Drug Combinations Humans Male Multimodal Imaging Penile Diseases - diagnostic imaging Penile Diseases - drug therapy Penile Diseases - pathology Tuberculosis - diagnostic imaging Tuberculosis - drug therapy Tuberculosis - pathology |
| title | Penile Tuberculosis : A Case Report |
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