title: Tuberculosis of the glans penis: an important differential diagnosis of genital ulcer disease.
abstract: We report a 45-year-old, apparently healthy sero-negative man, presenting with multiple ulcers on the glans penis for a duration of three months. There was no significant inguinal lymphadenopathy. He showed no improvement on systemic antibiotics and acyclovir. Histopathology revealed the diagnosis of genital tuberculosis (TB), and polymerase chain reaction for Mycobacterium tuberculosis tested positive. The patient responded well to category I anti-tubercular treatment with complete resolution of lesions in six months. It is important to consider a differential diagnosis of penile TB in patients with non-healing genital ulcers.
authors.affiliation: 1 Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.
authors.forename: Archana
authors.initials: A
authors.lastname: Singal
authors.affiliation: 1 Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.
authors.forename: Deepika
authors.initials: D
authors.lastname: Pandhi
authors.affiliation: 1 Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.
authors.forename: Vandana
authors.initials: V
authors.lastname: Kataria
authors.affiliation: 2 Department of Pathology, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.
authors.forename: Vinod K
authors.initials: VK
authors.lastname: Arora
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D010413:Penis / Q000473:pathology; D016133:Polymerase Chain Reaction; D016896:Treatment Outcome; D014389:Tuberculosis, Male Genital / Q000175:diagnosis / Q000188:drug therapy*; D014456:Ulcer / Q000175:diagnosis / Q000209:etiology*
chemical_list: D000995:Antitubercular Agents
keywords: Penile tuberculosis; antitubercular treatment; genital ulcer disease; tuberculosis of the glans penis