[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.
Servicio de Medicina Interna, Hospital Comarcal de Monforte, Lugo, España.
Alfonso
A
Mateos Colino
Manuel Alejandro
MA
Sousa Escandón
Rafael
R
Golpe Gómez
Roberto
R
García Figueras
Javier
J
Pérez Valcarcel
María Armesto
MA
Fernández
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