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[A case of tuberculous epididymitis after Bacillus Calmette-Guérin intravesical instillation therapy for bladder cancer].
Hinyokika Kiyo. 2012 Feb; 58(2):113-6.HK

Abstract

A 65-year-old male had undergone transurethral resection of bladder tumor (TUR-Bt) four times for recurrent bladder cancer, and each histopathological examination revealed non-invasive urothelial carcinoma, pTa, G2. To prevent further recurrence, he received eight weekly intravesical instillations of Bacillus Calmette-Guérin (BCG). Four months after the BCG therapy, he underwent cystoscopy. One week after the cystoscopy, he developed a painful and swollen left scrotum. Treatment with levofloxacin for acute epididymitis reduced the scrotal pain initially, but the pain increased and 3 months later, a fistula with suppurative discharge appeared at the bottom of the scrotum. A smear of the discharge revealed Gaffky 2, and a culture showed tubercle bacillus. Incisional drainage of the abscess and anti-tuberculosis chemotherapy for 2 months to treat tuberculous epididymitis was not completely effective. We performed a left orchiectomy with resection of the infected scrotal skin. Histopathological examination showed tuberculous epididymitis consisting of a caseating granuloma with epithelioid cells and Langhans giant cells. He received anti-tuberculosis chemotherapy for 4 months postoperatively and had no sign of recurrence 1 year postoperatively.

Authors+Show Affiliations

The Department of Urology, Osaka Central Hospital.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article
Review

Language

jpn

PubMed ID

22450841

Citation

Uesaka, Yuka, et al. "[A Case of Tuberculous Epididymitis After Bacillus Calmette-Guérin Intravesical Instillation Therapy for Bladder Cancer]." Hinyokika Kiyo. Acta Urologica Japonica, vol. 58, no. 2, 2012, pp. 113-6.
Uesaka Y, Takahi Y, Ito S, et al. [A case of tuberculous epididymitis after Bacillus Calmette-Guérin intravesical instillation therapy for bladder cancer]. Hinyokika Kiyo. 2012;58(2):113-6.
Uesaka, Y., Takahi, Y., Ito, S., Kiuchi, H., & Ichimaru, N. (2012). [A case of tuberculous epididymitis after Bacillus Calmette-Guérin intravesical instillation therapy for bladder cancer]. Hinyokika Kiyo. Acta Urologica Japonica, 58(2), 113-6.
Uesaka Y, et al. [A Case of Tuberculous Epididymitis After Bacillus Calmette-Guérin Intravesical Instillation Therapy for Bladder Cancer]. Hinyokika Kiyo. 2012;58(2):113-6. PubMed PMID: 22450841.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of tuberculous epididymitis after Bacillus Calmette-Guérin intravesical instillation therapy for bladder cancer]. AU - Uesaka,Yuka, AU - Takahi,Yuko, AU - Ito,Shinichiro, AU - Kiuchi,Hiroshi, AU - Ichimaru,Naotsugu, PY - 2012/3/28/entrez PY - 2012/3/28/pubmed PY - 2012/6/7/medline SP - 113 EP - 6 JF - Hinyokika kiyo. Acta urologica Japonica JO - Hinyokika Kiyo VL - 58 IS - 2 N2 - A 65-year-old male had undergone transurethral resection of bladder tumor (TUR-Bt) four times for recurrent bladder cancer, and each histopathological examination revealed non-invasive urothelial carcinoma, pTa, G2. To prevent further recurrence, he received eight weekly intravesical instillations of Bacillus Calmette-Guérin (BCG). Four months after the BCG therapy, he underwent cystoscopy. One week after the cystoscopy, he developed a painful and swollen left scrotum. Treatment with levofloxacin for acute epididymitis reduced the scrotal pain initially, but the pain increased and 3 months later, a fistula with suppurative discharge appeared at the bottom of the scrotum. A smear of the discharge revealed Gaffky 2, and a culture showed tubercle bacillus. Incisional drainage of the abscess and anti-tuberculosis chemotherapy for 2 months to treat tuberculous epididymitis was not completely effective. We performed a left orchiectomy with resection of the infected scrotal skin. Histopathological examination showed tuberculous epididymitis consisting of a caseating granuloma with epithelioid cells and Langhans giant cells. He received anti-tuberculosis chemotherapy for 4 months postoperatively and had no sign of recurrence 1 year postoperatively. SN - 0018-1994 UR - https://www.unboundmedicine.com/medline/citation/22450841/[A_case_of_tuberculous_epididymitis_after_Bacillus_Calmette_Guérin_intravesical_instillation_therapy_for_bladder_cancer]_ L2 - https://repository.kulib.kyoto-u.ac.jp/dspace/handle/2433/154622 DB - PRIME DP - Unbound Medicine ER -