[Tuberculous epididymitis caused by Mycobacterium bovis].
OBJECTIVE
To focus on the need of including tuberculosis among differential diagnoses of any epidymo-testicular mass, especially if its evolution is torpid.


RESULTS
A 73-year-old man who presented with scrotum abscess underwent surgical drainage and antibiotic treatment, but suppuration relapsed through cutaneous fistulae. A epipidymectomy was then performed, which demonstrated tuberculous granulomas. Torax Rx showed a cystic apical pulmonary wound which was treated with 3 antituberculostatics for 12 months. Sputum culture was positive for Micobacterium Bovis.


CONCLUSIONS
Aspirative punction under sonographic control is a valuable technique to avoid mutilating surgeries and to permit an almost always effective treatment, before the appearance of permanent lesions which lead to sterility.
Mateos Colino
Alfonso
A
Servicio de Medicina Interna, Hospital Comarcal de Monforte, Lugo, España.
Sousa Escandón
Manuel Alejandro
MA
Golpe Gómez
Rafael
R
García Figueras
Roberto
R
Pérez Valcarcel
Javier
J
Fernández
María Armesto
MA
D000038:Abscess / Q000382:microbiology; D000368:Aged; D000822:Animal Husbandry; D000818:Animals; D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents / Q000627:therapeutic use; D002417:Cattle; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004823:Epididymitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008297:Male; D009163:Mycobacterium bovis / Q000302:isolation & purification*; D009784:Occupational Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011718:Pyrazinamide / Q000627:therapeutic use; D012293:Rifampin / Q000627:therapeutic use; D012611:Scrotum; D014380:Tuberculosis, Bovine; D014389:Tuberculosis, Male Genital / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D000995:Antitubercular Agents; D011718:Pyrazinamide; D007538:Isoniazid; D012293:Rifampin