病例报告：附睾炎-睾丸炎由 引起。
Case Report: Epididymo-Orchitis due to .
机构信息
Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Department of Urology, HealthPartners, St. Paul, Minnesota.
出版信息
Am J Trop Med Hyg. 2019 Nov;101(5):1070-1072. doi: 10.4269/ajtmh.19-0162.
Genitourinary tuberculosis (TB) is a rare but well-described form of extrapulmonary TB. We present a case of a 35-year-old man from Ethiopia with scrotal swelling and fever who was found to have epididymo-orchitis due to . The patient presented to the hospital multiple times before undergoing operative debridement with fine needle aspiration and tissue biopsy to confirm the diagnosis. He improved with antituberculous therapy. Patients with TB risk factors presenting with epididymitis that is refractory to empiric antibiotic therapy warrant consideration of TB epididymitis. Our case demonstrates the high index of suspicion required to establish a diagnosis of genitourinary TB.
泌尿生殖系统结核（TB）是一种罕见但已有明确描述的肺外 TB 形式。我们报告了 1 例来自埃塞俄比亚的 35 岁男性，因 导致阴囊肿胀和发热。该患者在接受手术清创、细针抽吸和组织活检以确认诊断之前，曾多次到医院就诊。他在接受抗结核治疗后有所改善。对于那些存在 TB 风险因素、表现为对抗生素经验性治疗无反应的附睾炎患者，应考虑结核性附睾炎。我们的病例表明，需要高度怀疑才能确诊泌尿生殖系统 TB。
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