Pulmonary Department, Respiratory Infections Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Intensive Care Unit, Hippocration General Hospital, Thessaloniki, Greece.
Int J Mycobacteriol. 2024 Jul 1;13(3):225-236. doi: 10.4103/ijmy.ijmy_130_24. Epub 2024 Sep 14.
In this review, two cases of testicular tuberculosis (TB) are presented, and another 58 cases published in PubMed between January 1, 2012, and July 31, 2023, are reviewed. Testicular TB remains a disease mainly of the developing world, with one notable exception - the infections caused as a result of Bacillus Calmette-Guérin infusion immunotherapy for bladder cancer. Its clinical course is subacute; however, it might get disseminated and become life-threatening; therefore, prompt diagnosis is very important. The diagnosis can be quite challenging, and testicular tissue is the sample with the highest diagnostic yield, either for microbiological or histopathological diagnosis. On the other hand, its treatment follows the standard guidelines for TB treatment; however, the avoidance of an unnecessary orchiectomy is important.
在这篇综述中,我们报告了 2 例睾丸结核(TB)病例,并对 2012 年 1 月 1 日至 2023 年 7 月 31 日期间在 PubMed 上发表的另外 58 例病例进行了回顾。睾丸 TB 仍然是发展中国家的主要疾病,但有一个显著的例外,即膀胱癌卡介苗灌注免疫治疗引起的感染。其临床过程是亚急性的,但可能会扩散并危及生命,因此,及时诊断非常重要。诊断可能具有挑战性,睾丸组织是具有最高诊断产量的样本,无论是微生物学还是组织病理学诊断。另一方面,其治疗遵循 TB 治疗的标准指南,但避免不必要的睾丸切除术很重要。