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DOI: 10.1055/s-0038-1667125
Tuberculosis miliar y orquiepididimitis tuberculosa en un paciente inmunocompetente: reporte de caso
Military Tuberculosis and Tuberculosis Orchidepidimitis in an Immunocompetent Patient: Case ReportPublication History
24 May 2018
18 June 2018
Publication Date:
05 October 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035331/201901/lookinside/thumbnails/10-1055-s-0038-1667125_1800034-1.jpg)
Resumen
La tuberculosis genitourinaria es la segunda forma de presentación más común de tuberculosis extrapulmonar luego del compromiso ganglionar, la epididimitis tuberculosa afecta preferentemente a pacientes con edades comprendidas entre los 30 y 50 años, y al menos un 70% tienen historia previa de tuberculosis pulmonar, la infección tuberculosa del escroto es rara y ocurre en aproximadamente el 7% de los pacientes con tuberculosis por extensión directa desde el epidídimo, planteando problemas de diagnóstico diferencial con procesos más agresivos como las neoplasias testiculares. Reportamos el caso de un hombre de 23 años con masa testicular que emulaba ser de origen neoplásico, llevado a orquidectomía unilateral. La patología describe necrosis y granulomas de caseificación conclusivo para orquiepididimitis tuberculosa, paciente inmunocompetente sin antecedente previo de tuberculosis.
Abstract
Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis after lymph node involvement; tuberculous epididymitis preferentially affects patients between the ages of 30 and 50 years, and at least 70% have a previous history of pulmonary tuberculosis, tuberculous infection scrotum is rare and occurs in approximately 7% of patients with tuberculosis by direct extension from the epididymis, posing problems of differential diagnosis with more aggressive processes such as testicular tumors. We report the case of a 23-year-old man with a testicular mass that emulated being of neoplastic origin, taken to unilateral orchidectomy. The pathology describes necrosis and caseification granulomas, conclusive for tuberculous orchiepididymitis, an immunocompetent patient with no previous history of tuberculosis.
Palabras Clave
tuberculosis testicular - tuberculosis urogenital - epididimitis - tuberculosis miliar - tomografía computarizada multidetector - ultrasonogragia - radiografía torácicaKeywords
testicular tuberculosis - urogenital tuberculosis - epididymitis - miliary tuberculosis - multidetector computed tomography - ultrasonography - thoracic radiographyResponsabilidades éticas
Protección de personas y animales. Los autores declaran que para esta investigación no se han realizado experimentos en seres humanos ni en animales.
Confidencialidad de los datos. Los autores declaran que han seguido los protocolos de su centro de trabajo sobre la publicación de datos de pacientes.
Derecho a la privacidad y consentimiento informado. Los autores han obtenido el consentimiento informado de los pacientes y/o sujetos referidos en el artículo. Este documento obra en poder del autor de correspondencia.
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