Skip to content
1887

Abstract

Genitourinary tuberculosis is a severe form of extrapulmonary tuberculosis. The kidneys are the most commonly affected organs, followed by the epididymis, testicles, bladder, ureter and prostate. Notably, epididymal tuberculosis is one of the forms of genital tuberculosis presenting with specific clinical features, which may include epididymitis, orchid-epididymitis or hydrocele. We report the case of a patient with a hydrocele that revealed epididymal tuberculosis. Utilizing molecular biology techniques, a diagnostic test for epididymal tuberculosis was established. The patient was treated conservatively with tuberculosis medication for 6 months.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Loading

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.000781.v4
2025-09-10
2026-01-15

Metrics

Loading full text...

Full text loading...

/deliver/fulltext/acmi/7/9/acmi000781.v4.html?itemId=/content/journal/acmi/10.1099/acmi.0.000781.v4&mimeType=html&fmt=ahah

References

  1. Kulchavenya E. Best practice in the diagnosis and management of urogenital tuberculosis. Ther Adv Urol 2013; 5:143–151 [View Article] [PubMed]
    [Google Scholar]
  2. Benchekroun A, Nouini Y, Zannoud M, Cissé AM, Marzouk M et al. Epididymal tuberculosis: a case report with a particular colour echodoppler appearance. Annales d’urologie 2002; 36:384–387 [View Article]
    [Google Scholar]
  3. Directorate of Epidemiology and Disease Control, Moroccan Ministry of Health National guide for the treatment of tuberculosis in children and adolescents; 2020
  4. Kwizera F, Hublet S, Bufkens A, Chami J-P, Rysselinck S. Epididymal tuberculosis revealed by retroperitoneal lymph nodes. Louvain med 2017; 136:35–40
    [Google Scholar]
  5. Yadav S. Tuberculous epididymitis in an immunocompetent Indian male: a report of a rare case. Cureus 2023; 15:e46340 [View Article] [PubMed]
    [Google Scholar]
  6. Dahou A. Urogenital tuberculosis: a study of 25 cases. Thesis for the degree of doctor of medicine. Thesis Number: 114/2022. Faculty of Medicine and Pharmacy of Marrakech;
    [Google Scholar]
  7. Gueye SM, Ba M, Sylla C, Ndoye AK, Fall PA et al. Epididymal manifestations of urogenital tuberculosis. Prog Urol Apr 1998; 8:240–243
    [Google Scholar]
  8. Sarramon JP, Lhez JM, Courty P, Escourrou G. Tuberculose génitourinaire: "anatomo-clinical aspects and diagnostic values of histological lesions". Ann Urol 1985; 16:241–242
    [Google Scholar]
  9. Poulios C, Malovrouvas D. Progress in the approach of tuberculosis of the genitourinary tract: remarks on a decade’s experience over cases. Acta Urol Belg 1990; 58:101–123 [PubMed]
    [Google Scholar]
  10. Benchekroun A, Lachkar A, Soumana A, Farih MH, Belahnech Z et al. “Urogenital tuberculosis”. À propos de 80 cas. Ann Urol 1998; 32:89–94
    [Google Scholar]
  11. Guy RJ. Tuberculous epididymitis presenting as acute hydrocele. J R Nav Med Serv 1995; 81:33–36 [PubMed]
    [Google Scholar]
  12. Reeve HR, Weinerth JL, Peterson LJ. Tuberculosis of epididymis and testicle presenting as hydrocele. Urology 1974; 4:329–331 [View Article]
    [Google Scholar]
  13. Lacambra Calvet C, Solis Villa J. Recurrent orchiepididymitis, 6 months after likely miliary tuberculosis. Arch Esp Urol Jun 1999; 52:518–520
    [Google Scholar]
  14. Amara C, Keita MA, Sissoko M, Bagayoko DK, Tounkara C et al. Epididymo-testicular tuberculosis: a case report from Bamako. SS 2023; 14:197–202 [View Article]
    [Google Scholar]
  15. Liu P, Liu Y, Wang Y, Hao S, Qin Y. Assessing the diagnostic accuracy of the Xpert MTB/RIF assay in detecting epididymal tuberculosis. Eur J Clin Microbiol Infect Dis 2022; 41:615–620 [View Article] [PubMed]
    [Google Scholar]
  16. Skoutelis A, Marangos M, Petsas T, Chionis I, Barbalias G et al. Serious complications of tuberculous epididymitis. Infection 2000; 28:193–195 [View Article]
    [Google Scholar]
  17. Department of Epidemiology and Disease Control, Minister of Health of Morocco National guidelines for the diagnosis and management of extra pulmonary tuberculosis; 2023
/content/journal/acmi/10.1099/acmi.0.000781.v4
Loading
/content/journal/acmi/10.1099/acmi.0.000781.v4
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An error occurred
Approval was partially successful, following selected items could not be processed due to error