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结核性附睾炎并发皮肤瘘管。

Tuberculosis epididymitis complicated by a cutaneous fistula.

作者信息

Weisenberg Scott A, Yan Qingwei Robert

机构信息

Department of Medicine, New York University School of Medicine, New York, USA.

Department of Surgery, Alta Bates Summit Medical Center, Berkeley, California, USA.

出版信息

BMJ Case Rep. 2017 Nov 9;2017:bcr-2017-221346. doi: 10.1136/bcr-2017-221346.

Abstract

A 63-year-old man developed scrotal swelling that became bilateral over 2 months. His symptoms persisted after treatment for epididymitis, and he developed a scrotal fistula with drainage. grew from the urine and fistula. His symptoms resolved and fistula closed with medical therapy. His case highlights the importance of early recognition, diagnosis and treatment of this form of extrapulmonary tuberculosis.

摘要

一名63岁男性出现阴囊肿胀,2个月内发展为双侧肿胀。附睾炎治疗后症状持续存在,随后出现伴有引流的阴囊瘘。从尿液和瘘管中培养出(相关病菌)。经药物治疗后,他的症状得到缓解,瘘管闭合。他的病例凸显了早期识别、诊断和治疗这种肺外结核形式的重要性。

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本文引用的文献

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Tuberculosis - United States, 2016.美国2016年结核病情况
MMWR Morb Mortal Wkly Rep. 2017 Mar 24;66(11):289-294. doi: 10.15585/mmwr.mm6611a2.
8
Male genital tuberculosis.男性生殖器结核
Lancet Infect Dis. 2008 May;8(5):335-42. doi: 10.1016/S1473-3099(08)70101-4.
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Diagnosis and management of epididymitis.附睾炎的诊断与管理
Urol Clin North Am. 2008 Feb;35(1):101-8; vii. doi: 10.1016/j.ucl.2007.09.013.
10
Male genital tuberculosis in Siberians.西伯利亚男性生殖器结核
World J Urol. 2006 Feb;24(1):74-8. doi: 10.1007/s00345-005-0048-9. Epub 2006 Jan 21.

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