Genito-urinary tuberculosis (GUTB) is a severe form of extra-pulmonary tuberculosis (EPTB). The most commonly affected organs are the epididymis and testis. GUTB diagnosis may prove difficult and is often delayed given that symptoms are non-specific. We have here reported the case of a patient with no history of pulmonary TB, who presented with acute right scrotal pain mimicking an epididymo-orchitis. After failure of antibacterial therapy, we completed the patient's work-up by means of a CT scan that showed progressive retro-peritoneal lymph nodes. Correct diagnosis was made using laparoscopic lymphadenectomy (histology: granulomatous necrotizing lymphadenitis, culture: M. Turberculosis). A tuberculosis treatment was initiated after diagnosis.
Key Words
Uro-genital tuberculosis, tuberculous epididymitis, abdominal tuberculosis
What is already known about the topic?
Tuberculosis (TB) is a world public health concern and the first cause of mortality from infectious disease. Genito-urinary TB is a severe form of extra-pulmonary TB. Risks factors are: young adults, AIDS, cirrhosis, peritoneal dialysis, chronic renal failure, diabetes mellitus Type 2, and BCG instillations. The diagnosis of genito-urinary TB is difficult and often delayed because signs and symptoms are non-specific.
What does this article bring up for us?
This article presents the particular case of a tuberculous epididymitis with retroperitoneal adenopathies. The purpose of this article is to raise awareness about genito-urinary TB.