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Volume 7, Issue 3 (May 2005) 7, 329–332; 10.1111/j.1745-7262.2005.00038.x
Tuberculous epididymitis: a case report and literature review
Huan-Yun Liu, Yian-Tzueng Fu, Ching-Jiunn Wu and Guang-Huan Sun
1.Division of Urology, Department of Surgery, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan 32551, China
2.Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan 11472, China
3.Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan 11472, China
Received: 2004-07-16 Accepted: 2005-02-04
| Abstract |
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Tuberculous epididymitis is a rare urological disease difficult to diagnose. The conventional methods for diagnosis are often time-consuming and invasive. The combined use of scrotal magnetic resonance imaging (MRI) and urinary polymerase chain reaction (PCR)-based assay for mycobacterial DNA (the latter because of its high sensitivity and specificity to demonstrate mycobacterial DNA) is a valuable method for rapid diagnosis of tuberculous epididymitis. We report a 79-year-old man who was admitted with the chief complaints of bilateral scrotal swelling and pain. The combined use of scrotal MRI and urinary PCR allowed prompt diagnosis of tuberculous epididymitis and adequate antituberculous therapy.
Keywords: magnetic resonance imaging, polymerase chain reaction, tuberculosis, epididymitis
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