Primary cutaneous ‘ulcerative’ tuberculosis of the scrotum: a rare occurrence

Abstract

Tuberculosis (TB) is a global disease and if not adequately treated can lead to morbidity and mortality. Though genitourinary TB is common and only next to pulmonary TB, cutaneous ‘ulcerative’ tuberculosis of the scrotum is not reported so far in the literature. We present a 32-year-old man with a non-healing scrotal ulcer and underwent excision. Histopathology was consistent with TB. Antitubercular therapy was given and at the end of a year’s follow-up, there has been no recurrence. TB of the scrotum should be considered in the differential diagnosis of scrotal ulcers. Proper diagnosis and adequate treatment will offer a cure to such patients.

A Case of Testicular Granulomatous Inflammation Mistaken for Malignancy: Tuberculosis Identified Post Orchiectomy

“…11 , 12 Swollen testicles with induration are typical physical findings along with intense tenderness on palpation. 13 …”

“…11,12 Swollen testicles with induration are typical physical findings along with intense tenderness on palpation. 13 The absence of pyuria is against bacterial epididymitis. 1,13 Epididymitis, epididymo-orchitis, or orchitis symptomatic resolution occurs over 2 to 4 weeks assuming sensitive organism's and appropriate antimicrobial therapy.…”

“…13 The absence of pyuria is against bacterial epididymitis. 1,13 Epididymitis, epididymo-orchitis, or orchitis symptomatic resolution occurs over 2 to 4 weeks assuming sensitive organism's and appropriate antimicrobial therapy. 11,12,14,15 Viral orchitis is also known to occur most commonly due to the mumps virus, specifically in postpubertal males.…”

Ultrasonography of a giant adenomatoid tumor of the tunica vaginalis: A case report and review of the literature

“…Adenomatoid tumors of the tunica vaginalis may also be confused with tuberculosis of the scrotum. The genitourinary tract is the most commonly affected site of extrapulmonary tuberculosis, scrotal tuberculosis may also present as a painless scrotal mass [17] . The US of scrotal tuberculosis usually shows local thickening of the tunics, irregular mass with mixed echo inside, but without clear borders, internal flow signals may be detected in some lesions.…”

“…Irregular hyperecho and acoustic shadow can be seen in some lesions, which maybe typical manifestations on US. Some patients may have scrotal wall ulcers or sinus formation [17] . Moreover, most of these patients have renal tuberculosis and require imaging of the urinary tract.…”