Tuberculous epididymitis with extensive retroperitoneal and mediastinal involvement.
The incidence of tuberculosis in the United States is on the rise, in part, because of its association with acquired immunodeficiency syndrome. Genitourinary tuberculosis remains one of the most common forms of secondary or extrapulmonary disease. We present an unusual case of tuberculous epididymitis with extensive retroperitoneal and mediastinal spread. The possible routes of dissemination, as well as the efficacy of antimycobacterial therapy in the management of tuberculous epididymitis, are discussed and the relevant literature is reviewed.
Oben
Felix T
FT
Division of Urology, Howard University Hospital, Washington, DC 20060, USA.
Wright
Renee D E
RD
Ahaghotu
Chiledum A
CA
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003952:Diagnostic Imaging; D004219:District of Columbia; D004359:Drug Therapy, Combination; D004823:Epididymitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008297:Male; D008482:Mediastinum / Q000473:pathology; D011718:Pyrazinamide / Q000627:therapeutic use; D012187:Retroperitoneal Space; D012293:Rifampin / Q000627:therapeutic use; D012807:Sierra Leone / Q000208:ethnology; D014389:Tuberculosis, Male Genital / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D000995:Antitubercular Agents; D011718:Pyrazinamide; D007538:Isoniazid; D012293:Rifampin