Disseminated tuberculosis revealed by epididymal localization in an immunocompetent patient: a case report
Epididymal tuberculosis is rare and often presents diagnostic difficulties. It may be indicative of a disseminated form of the infection, which is the case of our patient. A 19-year-old man, with no past medical history, was admitted for a swollen painful left scrotum that had been evolving for 8 mo...
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| Veröffentlicht in: | The Pan African medical journal 2024, Vol.48, p.2 |
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| container_title | The Pan African medical journal |
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| creator | Bougossa, Rebeh Ammari, Fatma Larbi Mabrouk, Asma Ben Jouirou, Rabeb Arfa, Sondess Chelli, Jihene |
| description | Epididymal tuberculosis is rare and often presents diagnostic difficulties. It may be indicative of a disseminated form of the infection, which is the case of our patient. A 19-year-old man, with no past medical history, was admitted for a swollen painful left scrotum that had been evolving for 8 months. He had undergone an orchiectomy and the anatomopathological examination was consistent with epididymal tuberculosis. The radiological investigations had revealed other localizations of the infection: lymphatic, pulmonary, parietal and osteoarticular tuberculosis. Anti-tuberculosis therapy was introduced. However, in the 4
month of treatment, the patient developed seizures. A cerebral magnetic resonance imaging was practiced, concluding to cerebral tuberculomas. Anti-tuberculosis treatment was continued associated to an anticonvulsant with a favourable outcome. The originality of our observation resides in the mode of revelation of a disseminated paucisymptomatic tuberculosis, by an epididymal localization, in an immunocompetent patient. |
| doi_str_mv | 10.11604/pamj.2024.48.2.42965 |
| format | Article |
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month of treatment, the patient developed seizures. A cerebral magnetic resonance imaging was practiced, concluding to cerebral tuberculomas. Anti-tuberculosis treatment was continued associated to an anticonvulsant with a favourable outcome. The originality of our observation resides in the mode of revelation of a disseminated paucisymptomatic tuberculosis, by an epididymal localization, in an immunocompetent patient.</description><identifier>ISSN: 1937-8688</identifier><identifier>EISSN: 1937-8688</identifier><identifier>DOI: 10.11604/pamj.2024.48.2.42965</identifier><identifier>PMID: 38946746</identifier><language>eng ; fre</language><publisher>Uganda</publisher><subject>Anticonvulsants - administration & dosage ; Antitubercular Agents - administration & dosage ; Epididymis - microbiology ; Epididymis - pathology ; Humans ; Immunocompetence ; Magnetic Resonance Imaging ; Male ; Orchiectomy ; Seizures - etiology ; Tuberculoma, Intracranial - diagnosis ; Tuberculoma, Intracranial - drug therapy ; Tuberculosis, Male Genital - diagnosis ; Tuberculosis, Male Genital - drug therapy ; Young Adult</subject><ispartof>The Pan African medical journal, 2024, Vol.48, p.2</ispartof><rights>Copyright: Rebeh Bougossa et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38946746$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bougossa, Rebeh</creatorcontrib><creatorcontrib>Ammari, Fatma Larbi</creatorcontrib><creatorcontrib>Mabrouk, Asma Ben</creatorcontrib><creatorcontrib>Jouirou, Rabeb</creatorcontrib><creatorcontrib>Arfa, Sondess</creatorcontrib><creatorcontrib>Chelli, Jihene</creatorcontrib><title>Disseminated tuberculosis revealed by epididymal localization in an immunocompetent patient: a case report</title><title>The Pan African medical journal</title><addtitle>Pan Afr Med J</addtitle><description>Epididymal tuberculosis is rare and often presents diagnostic difficulties. It may be indicative of a disseminated form of the infection, which is the case of our patient. A 19-year-old man, with no past medical history, was admitted for a swollen painful left scrotum that had been evolving for 8 months. He had undergone an orchiectomy and the anatomopathological examination was consistent with epididymal tuberculosis. The radiological investigations had revealed other localizations of the infection: lymphatic, pulmonary, parietal and osteoarticular tuberculosis. Anti-tuberculosis therapy was introduced. However, in the 4
month of treatment, the patient developed seizures. A cerebral magnetic resonance imaging was practiced, concluding to cerebral tuberculomas. Anti-tuberculosis treatment was continued associated to an anticonvulsant with a favourable outcome. 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month of treatment, the patient developed seizures. A cerebral magnetic resonance imaging was practiced, concluding to cerebral tuberculomas. Anti-tuberculosis treatment was continued associated to an anticonvulsant with a favourable outcome. The originality of our observation resides in the mode of revelation of a disseminated paucisymptomatic tuberculosis, by an epididymal localization, in an immunocompetent patient.</abstract><cop>Uganda</cop><pmid>38946746</pmid><doi>10.11604/pamj.2024.48.2.42965</doi><oa>free_for_read</oa></addata></record> |
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| language | eng ; fre |
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| source | MEDLINE; PubMed Central Open Access; African Journals Online (Open Access); EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Anticonvulsants - administration & dosage Antitubercular Agents - administration & dosage Epididymis - microbiology Epididymis - pathology Humans Immunocompetence Magnetic Resonance Imaging Male Orchiectomy Seizures - etiology Tuberculoma, Intracranial - diagnosis Tuberculoma, Intracranial - drug therapy Tuberculosis, Male Genital - diagnosis Tuberculosis, Male Genital - drug therapy Young Adult |
| title | Disseminated tuberculosis revealed by epididymal localization in an immunocompetent patient: a case report |
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