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أعرض في EDS

Tuberculosis of the testis and its appendages ; Туберкулез яичка и его придатка

التفاصيل البيبلوغرافية
العنوان: Tuberculosis of the testis and its appendages ; Туберкулез яичка и его придатка
المؤلفون: E. V. Kulchavenya, Е. В. Кульчавеня
المصدر: Meditsinskiy sovet = Medical Council; № 14 (2022); 219-227 ; Медицинский Совет; № 14 (2022); 219-227 ; 2658-5790 ; 2079-701X
بيانات النشر: REMEDIUM GROUP Ltd.
سنة النشر: 2022
المجموعة: Medical Council (E-Journal) / Медицинский Совет
مصطلحات موضوعية: туберкулезный орхоэпидидимит, tuberculosis of the male genital organs, tuberculosis of the testis, tuberculosis of the epididymis, tuberculous epididymitis, tuberculous orchiepididymitis, туберкулез мужских половых органов, туберкулез яичка, туберкулез придатка яичка, туберкулезный эпидидимит
الوصف: Tuberculosis of the genitourinary system has not lost its relevance. During the years of the pandemic of a new coronavirus infection, the number of newly diagnosed cases of tuberculosis of all localizations has decreased, but their structure has become more severe and mortality has increased. There is a wide variation in the statistics of urogenital tuberculosis (UGT) in the literature. The true incidence of scrotal tuberculosis is not known; at the end of the last century, it was believed that it was 7% of all cases of tuberculosis. It is believed that the share of isolated tuberculosis of the genital organs of men accounts for no more than 30% of all localizations of UGT, and most often tuberculosis develops in the epididymis. The spread of M. tuberculosis to the organs of the scrotum, as a rule, occurs by the hematogenous route from the primary focus in the lungs or kidney. However, the infection can also spread retrogradely from the prostate and seminal vesicles to the epididymis and testicles. Tuberculosis of the testis and its epididymis is often complicated by infertility and the formation of fistulas. This disease has no pathognomonic symptoms. Differential diagnosis is carried out between tuberculous epididymo-orchitis, testicular tumor, testicular torsion, bacterial epididymo-orchitis. Ultrasound examination is of great diagnostic value in tuberculosis of the scrotal organs. The ultrasound picture in tuberculosis of the testis and its epididymis is divided into 4 types: diffuse enlargement, heterogeneous hypoechogenicity; diffuse increase, uniform hypoechogenicity; nodular enlargement, heterogeneous hypoechogenicity; miliary dissemination. The world literature does not describe an example of tuberculosis of the scrotal organs, when the disease would be diagnosed during the patient’s initial visit to the doctor. As a result of late diagnosis or low suspicion for TB, up to 70% of patients undergo unnecessary surgery, although TB orchiepididymitis can be treated medically. The lecture also analyzed a ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Russian
العلاقة: https://www.med-sovet.pro/jour/article/view/7042/6335Test; Васильева И.А., Тестов В.В., Стерликов С.А. Эпидемическая ситуация по туберкулезу в годы пандемии COVID-19 – 2020–2021 гг. Туберкулез и болезни легких. 2022;100(3):6–12. https://doi.org/10.21292/2075-1230-2022-100-3-6-12Test.; Кульчавеня Е.В., Хомяков В.Т. Туберкулез внелегочной локализации в Западной Сибири. Туберкулез и болезни легких. 2003;80(4):13–15. Режим доступа: https://elibrary.ru/item.asp?id=26461954Test.; Кульчавеня Е.В., Брижатюк Е.В., Ковешникова Е.Ю., Свешникова Н.Н. Новые тенденции в эпидемической ситуации по туберкулезу экстраторакальных локализаций в Сибири и на Дальнем Востоке. Туберкулез и болезни легких. 2009;10(86):27–31. Режим доступа: https://elibrary.ru/item.asp?id=16261974Test.; Кульчавеня Е.В., Брижатюк Е.В., Хомяков В.Т. Туберкулез экстраторакальных локализаций в Сибири и на Дальнем Востоке. Туберкулез и болезни легких. 2005:82(6):23–26. Режим доступа: https://elibrary.ru/item.asp?id=26461956Test.; Степанов П.И. Актуальные вопросы патогенеза туберкулеза половых органов у мужчин. Урология. 2014;(2):36–39. Режим доступа: https://urologyjournal.ru/ru/archive/article/13399Test.; Jayarajah U., Gunawardene M., Willaraarachchi M., Chandrasiri S., Udayakumaran P., Sosai C., Abeygunasekera A. Clinical characteristics and outcome of genitourinary tuberculosis in Sri Lanka: an observational study. BMC Infect Dis. 2021;21(1):1279. https://doi.org/10.1186/s12879-021-06990-zTest.; Кульчавеня Е.В. Внелегочный туберкулез во время пандемии COVID-19: особенности выявления и течения. Consilium Medicum. 2021;23(7): 585–589. Режим доступа: https://cyberleninka.ru/article/n/vnelegochnyy-tuberkulez-vo-vremya-pandemii-covid-19-osobennosti-vyyavleniya-i-techeniya/viewerTest.; García I.G., Mampaso E.G., Revilla J.B., Molina M.R., Crespo A.S., Buitrago L.A. et al. Tuberculous orchiepididymitis during 1978–2003 period: review of 34 cases and role of 16S rRNA amplification. Urology. 2010;76(4): 776–781. https://doi.org/10.1016/j.urology.2010.01.033Test.; Suankwan U., Larbcharoensub N., Viseshsindh W., Wiratkapun C., Chalermsanyakorn P. A clinicopathologic study of tuberculous epididymo-orchitis in Thailand. Southeast Asian J Trop Med Public Health. 2012;43(4):951–958. Available at: https://pubmed.ncbi.nlm.nih.gov/23077818Test.; Chirindel A., Martinez F., Gagliardi J.A., Armm M.F. Testicular tuberculosis without epididymitis simulating neoplasm. Radiol Case Rep. 2015;3(3):133. https://doi.org/10.2484/rcr.v3i3.133Test.; Drudi F.M., Laghi A., Iannicelli E., Nardo R.D., Occhiato R., Poggi R., Marchese F. Tubercular epididymitis and orchitis: US patterns. Eur Radiol. 1997;7(7):1076–1078. https://doi.org/10.1007/s003300050257Test.; Shenoy V.P., Viswanath S., D’Souza A., Bairy I., Thomas J. Isolated tuberculous epididymo-orchitis: an unusual presentation of tuberculosis. J Infect Develop Countries. 2012;6(1):92–94. https://doi.org/10.3855/jidc.2145Test.; Gurubacharya R.L., Gurubacharya S.M. A 14-year-old boy with isolated tuberculous orchitis. J Nepal Paediatr Soc. 2009;29:30-32. https://doi.org/10.3126/jnps.v29i1.1598Test.; Das A., Batabyal S., Bhattacharjee S., Sengupta A. A rare case of isolated testicular tuberculosis and review of literature. J Family Med Prim Care. 2016;5(2):468–470. https://doi.org/10.4103/2249-4863.192334Test.; Viveiros F., Tente D., Espiridião P., Carvalho A., Duarte R. Testicular tuberculosis: case report. Rev Port Pneumol. 2009;15(6):1193-1197. https://doi.org/10.1016/S0873-2159Test(15)30201-4.; Regmi S.K., Singh U.B., Sharma J.B., Kumar R. Relevance of semen polymerase chain reaction positive for tuberculosis in asymptomatic men undergoing infertility evaluation. J Hum Reprod Sci. 2015;8(3): 165–169. https://doi.org/10.4103/0974-1208.165148Test.; Rajabi M.H., Gharaei H.A., Arabahmadi A., Yarmohammadi M. Isolated tuberculosis of testis: A case report. Caspian J Intern Med. 2021;12(1): 111–114. https://doi.org/10.22088/cjim.12.1.111Test.; Chandran S., Rahman A., Norris J.M., Tiberi S., Kunst H. Diagnostic pitfalls of urogenital tuberculosis. Trop Med Int Health. 2021;26(7):753–759. https://doi.org/10.1111/tmi.13583Test.; Кульчавеня Е.В., Филимонов П.Н., Швецова О.П. Атлас туберкулеза мочеполовой системы и других внелегочных локализаций. Новосибирск: Тираж-Сибирь; 2007. 78 с.; Mehta P.K., Kamra E. Recent trends in diagnosis of urogenital tuberculosis. Future Microbiol. 2020;15:159–162. https://doi.org/10.2217/fmb-2019-0323Test.; Altez-Fernandez C., Ortiz V., Mirzazadeh M., Zegarra L., Seas C., Ugarte-Gil C. Diagnostic accuracy of nucleic acid amplification tests (NAATs) in urine for genitourinary tuberculosis: a systematic review and meta-analysis. BMC Infect Dis. 2017;17(1):390. https://doi.org/10.1186/s12879-017-2476-8Test.; Kamra E., Mehta P.K. Current updates in diagnosis of male urogenital tuberculosis. Expert Rev Anti Infect Ther. 2021;19(10):1175–1190. https://doi.org/10.1080/14787210.2021.1902305Test.; Шевченко С.Ю., Кульчавеня Е.В., Алексеева Т.В. Эпидемическая ситуация по урогенитальному туберкулезу в Сибири и на Дальнем Востоке. Урология. 2016;(6):65–70. Режим доступа: https://urologyjournal.ru/ru/archive/article/34108Test.; Li S., Chen B., Fang X., Wan M., Cao D. et al. A better understanding of testicular and/or epididymal tuberculosis based on clinical, ultrasonic, computed tomography, and magnetic resonance imaging features at a high-volume institute in the modern era. Quant Imaging Med Surg. 2021;11(6):2465– 2476. https://doi.org/10.21037/qims-20-1005Test.; Madeb R., Marshall J., Nativ O., Erturk E. Epididymal tuberculosis: case report and review of the literature. Urology. 2005;65(4):798. https://doi.org/10.1016/j.urology.2004.10.029Test.; Garcia I.G., Mampaso E.G., Revilla J.B., Molina M.R., Crespo A.S., Buitrago L.A. et al. Tuberculous orchiepididymitis during 1978–2003 period: review of 34 cases and role of 16srRNA amplification. Urology. 2010;76(4): 776–781. https://doi.org/10.1016/j.urology.2010.01.033Test.; Hosamirudsari H., Mohammadizia F. Unilateral tuberculous epididymoorchitis with scrotal fistula: a case report. Iran J Pathol. 2015;10(2): 165–168. Available at: https://pubmed.ncbi.nlm.nih.gov/26351479Test/.; Yadav S., Singh P., Hemal A., Kumar R. Genital tuberculosis: current status of diagnosis and management. Transl Androl Urol. 2017;6(2):222–233. https://doi.org/10.21037/tau.2016.12.04Test.; Al-Hashimi K.A., Said U.N. Unilateral testicular tuberculosis: an extra-pulmonary manifestation. Cureus. 2021;13(10):e18896. https://doi.org/10.7759/cureus.18896Test.; Wise G.J., Shteynshlyuger A. An update on lower urinary tract tuberculosis. Curr Urol Rep. 2008;9(4): 305–313. https://doi.org/10.1007/s11934-008-0053-9Test.; Wolf Jr J.S., McAninch J.W. Tuberculous epididymo-orchitis: diagnosis by fine needle aspiration. J Urol. 1991;145(4):836–838. https://doi.org/10.1016/s0022-5347Test(17)38469-0.; Sah S.P., Bhadani P.P., Regmi R., Tewari A., Raj G.A. Fine needle aspiration cytology of tubercular epididymitis and epididymo-orchitis. Acta Cytol. 2006;50(3):243–249. https://doi.org/10.1159/000325949Test.; Tessler F.N., Tublin M.E., Rifkin M.D. US case of the day. Tuberculous epididymoorchitis. Radiographics. 1998;18(1):251–253. https://doi.org/10.1148/radiographics.18.1.9460131Test.; Jaffar A., Mehta J.B., Godfrey J.H. Tuberculous epididymo-orchitis and granulomatous prostatitis mimicking neoplasia. J Tenn Med Assoc. 1990;83(12) :605–606. Available at: https://pubmed.ncbi.nlm.nih.gov/2126830Test/.; Kim S.H., Pollack H.M., Cho K.S., Pollack M.S., Han M.C. Tuberculous epididymitis and epididymo-orchitis: sonographic findings. J Urol. 1993;150(1): 81–84. https://doi.org/10.1016/s0022-5347Test(17)35404-6.; Chung J.J., Kim M.J., Lee T., Yoo H.S., Lee J.T. Sonographic findings in tuberculous epididymitis and epididymo-orchitis. J Clin Ultrasound. 1997;25(7):390–394. https://doi.org/10.1002Test/(SICI)1097-0096(199709)25:73.0.CO;2-5.; Orakwe J.C., Okafor P.I.S. Genitourinary tuberculosis in Nigeria: A review of thirty-one cases. Niger J Clin Pract. 2005;8(2):69–73. Available at: https://pubmed.ncbi.nlm.nih.gov/16477856Test/.; Tzvetkov D., Tzvetkova P. Tuberculosis of male genital system – myth or reality in 21st century. Arch Androl. 2006;52(5):375–381. https://doi.org/10.1080/01485010600667076Test.; Muttarak M., Peh W.C., Lojanapiwat B., Chaiwun B. Tuberculous epididymitis and epididymo-orchitis: sonographic appearances. AJR Am J Roentgenol. 2001;176(6):1459–1466. https://doi.org/10.2214/ajr.176.6.1761459Test/.; Turkvatan A., Kelahmet E., Yazgan C., Olcer T. Sonographic findings in tuberculous epididymo-orchitis. J Clin Ultrasound. 2004;32(6):302–305. https://doi.org/10.1002/jcu.20035Test.; Jung Y.Y., Kim J.K., Cho K.-S. Genitourinary tuberculosis: comprehensive cross-sectional imaging. Am J Roentgenol. 2005;184(1):143–150. https://doi.org/10.2214/ajr.184.1.01840143Test.; Weisenberg S.A., Yan Q.R. Tuberculosis epididymitis complicated by a cutaneous fistula. BMJ Case Rep. 2017;2017:bcr2017221346. https://doi.org/10.1136/bcr-2017-221346Test.; Salmeron I., Ramirez-Escobar M.A., Puertas F., Marcos R., Garcia-Marcos F., Sanchez R. Granulomatous epididymo-orchitis: sonographic features and clinical outcome in brucellosis, tuberculosis and idiopathic granulomatous epididymo-orchitis. J Urol. 1998;159(6):1954–1957. https://doi.org/10.1016/s0022-5347Test(01)63206-3.; Borthwick W.M. The pathogenesis of tuberculous epididymitis. Edinb Med J. 1946;53(2):55–70. Available at: https://pubmed.ncbi.nlm.nih.gov/21019057Test/.; Lee I.-K., Yang W.-C., Liu J.-W. Scrotal tuberculosis in adult patients: a 10-year clinical experience. Am J Trop Med Hyg. 2007;77(4):714–748. Available at: https://pubmed.ncbi.nlm.nih.gov/17978076Test/.; Sethi S., Dhaliwal L., Dey P., Kaur H., Yadav R., Sethi S. Loop-mediated isothermal amplification assay for detection of Mycobacterium tuberculosis complex in infertile women. Indian J Med Microbiol. 2016;34(3):322–327. https://doi.org/10.4103/0255-0857.188323Test.; Kim J.K., Bang W.J., Oh C.Y., Yoo C., Cho J.S. Feasibility of the interferon-γ release assay for the diagnosis of genitourinary tuberculosis in an endemic area. Korean J Urol. 2013;54(2):123–126. https://doi.org/10.4111/kju.2013.54.2.123Test; Muttarak M., Peh W.C.G. Case 91: tuberculous epididymo-orchitis. Radiology. 2006;238(2):748-751. https://doi.org/10.1148/radiol.2382031851Test.; Pavlica P., Barozzi L. Imaging of the acute scrotum. Eur Radiol. 2001;11(2):220-228. https://doi.org/10.1007/s003300000604Test.; Cheng L., Albers P., Berney D.M., Feldman D.R., Daugaard G., Gilligan T., Looijenga L.H.J. Testicular cancer. Nat Rev Dis Primers. 2018;4(1):29. https://doi.org/10.1038/s41572-018-0029-0Test.; Yang D.M., Chang M.S., Oh Y.H., Yoon M.H., Kim H.S., Chung J.W. Chronic tuberculous epididymitis: color Doppler US findings with histopathologic correlation. Abdom Imaging. 2000;25(5):559–562. https://doi.org/10.1007/s002610000092Test.; Petersen L., Mommsen S., Pallisgaard G. Male genitourinary tuberculosis: report of 12 cases and review of the literature. Scand J Urol Nephrol. 1993;27(3):425–428. https://doi.org/10.3109/00365599309180460Test.; Nepal P., Ojili V., Songmen S., Kaur N., Olsavsky T., Nagar A. “The Great Masquerader”: sonographic pictorial review of testicular tuberculosis and its mimics. J Clin Imaging Sci. 2019;9:27. https://doi.org/10.25259/JCIS-14-2019Test.; Tsili A.C., Tsampoulas C., Giannakopoulos X., Stefanou D., Alamanos Y., Sofikitis N., Efremidis S.C. MRI in the histologic characterization of testicular neoplasms. AJR Am J Roentgenol. 2007;189(6):W331–337. https://doi.org/10.2214/AJR.07.2267Test.; Gupta N., Rajwanshi A., Srinivasan R., Nijhawan R. Fine needle aspiration of epididymal nodules in Chandigarh, north India: an audit of 228 cases. Cytopathology. 2006;17(4):195–198. https://doi.org/10.1111/j.1365-2303.2006.00290.xTest.; Handa U., Kundu R., Raghubanshi G., Bhalla V. Granulomatous epididymo-orchitis: diagnosis by fine-needle aspiration. Trop Doct. 2018;48(1):17–20. https://doi.org/10.1177/0049475517711017Test.; Sharma A., Nagalli S., Varughese A.T., Ayvazian A.M. A review of the diagnostic use of fine-needle aspiration cytology for tuberculosis epididymo-orchitis: to do or not to do. Cureus. 2020;12(1):e6532. https://doi.org/10.7759/cureus.6532Test.; Garbyal R.S., Gupta P., Kumar S., Anshu. Diagnosis of isolated tuberculous orchitis by fine-needle aspiration cytology. Diagn Cytopathol. 2006;34(10):698–700. https://doi.org/10.1002/dc.20538Test.; Тиктинский О.Л., Новиков И.Ф., Михайличенко А.В. Заболевания половых органов у мужчин. Л.: Медицина; 1985. 294 с.; Ткачук В.Н., Ягафарова Р.К., Аль-Шукри С.Х. Туберкулез мочеполовой системы. СПб.: СпецЛит; 2004. 319 c. Режим доступа: https://speclit.su/image/catalog/5-299-00279-3/5-299-00279-3.pdfTest.; Viswaroop B.S., Kekre N., Gopalakrishnan G. Isolated tuberculous epididymitis: a review of forty cases. J Postgrad Med. 2005;51(2):109–111. Available at: https://pubmed.ncbi.nlm.nih.gov/16006701Test/.; Chan E.D., Iseman M.D. Current medical treatment for tuberculosis. BMJ. 2002;325(7375):1282–1286. https://doi.org/10.1136/bmj.325.7375.1282Test.; Kumar R., Hemal A.K. Bilateral epididymal masses with infertility. ANZ J Surg. 2004;74(5):391. https://doi.org/10.1111/j.1445-1433.2004.03003.xTest.; Ponnayyan N.K., Ganapath A.S., Ganapathy V. Spectrum of tuberculosis in urology: Case series and review of the literature. Urol Ann. 2020;12(2):107–111. https://doi.org/10.4103/UA.UA_121_19Test.; Dell’Atti L. Unusual isolated tubercolous epididymitis. Case report. G Chir. 2014;35(5–6):134–136. Available at: https://pubmed.ncbi.nlm.nih.gov/24979105Test/.; Ravikanth R., Kamalasekar K., Patel N. Extensive primary male genital tuberculosis. J Hum Reprod Sci. 2019;12(3):258–261. https://doi.org/10.4103/jhrs.JHRS_3_19Test.; Borges W.M., Bechara G.R., de Miranda M.M.L., de Figueiredo G.B., Venturini B.A., Laghi C.R. Epididymis tuberculosis: Case report and brief review of the literature. Urol Case Rep. 2019;26:100969. https://doi.org/10.1016/j.eucr.2019.100969Test.; Sadeghi A., Chaikin D., Calhoun S. Testicular tuberculosis: An uncommon complication after treatment of urothelial carcinoma. Radiol Case Rep. 2020;15(11):2285–2293. https://doi.org/10.1016/j.radcr.2020.07.030Test.; Chamberlin K., Orfanos S., Mukherjee A., Moy E., Koganti M., Khan W. A case of disseminated tuberculosis mimicking metastatic cancer. Respir Med Case Rep. 2018;25:239–241. https://doi.org/10.1016/j.rmcr.2018.10.001Test.; Lan Y., Chen L., Zhang H. Pulmonary and testicular tuberculosis in one patient caused by Mycobacterium tuberculosis with different genotypes. J Infect Dev Ctries. 2019;13(3):261–264. https://doi.org/10.3855/jidc.11063Test.; Seo J.W., Park C.J., Kim T.K., Mok J.H., Kim M.H., Lee K. et al. Testicular tuberculosis in multidrug-resistant pulmonary tuberculosis. J Infect Chemother. 2013;19(4):767–769. https://doi.org/10.1007/s10156-012-0508-2Test.; Badmos K.B. Tuberculous epididymo-orchitis mimicking a testicular tumour: a case report. Afr Health Sci. 2012;12(3):395–397. https://doi.org/10.4314/ahs.v12i3.26Test.; Abraham S., Anariba D.E.I., Dua K., Mir M., Ankireddypalli A. A case of testicular tuberculosis mimicking malignancy in a healthy young man. Ther Adv Infect Dis. 2016;3(3–4):110–113. https://doi.org/10.1177/2049936116655261Test.; Nuwagira E., Yekosani M., Abraham B., Atwine R., Caleb T., Baluku J.B. Drugresistant tuberculosis presenting as a testicular mass: a case report. Int Med Case Rep J. 2021;14:145–149. https://doi.org/10.2147/IMCRJ.S300216Test.; Plourde A.R., Hall C.R., McElvania E. The brief case: a real pain in the testicle-a case of extrapulmonary mycobacterium tuberculosis. J Clin Microbiol. 2022;60(3):e0060221. https://doi.org/10.1128/jcm.00602-21Test.; https://www.med-sovet.pro/jour/article/view/7042Test
DOI: 10.21518/2079-701X-2022-16-14-219-227
الإتاحة: https://doi.org/10.21518/2079-701X-2022-16-14-219-227Test
https://doi.org/10.21292/2075-1230-2022-100-3-6-12Test
https://doi.org/10.1186/s12879-021-06990-zTest
https://doi.org/10.1016/j.urology.2010.01.033Test
https://doi.org/10.2484/rcr.v3i3.133Test
https://doi.org/10.1007/s003300050257Test
https://doi.org/10.3855/jidc.2145Test
https://doi.org/10.3126/jnps.v29i1.1598Test
https://doi.org/10.4103/2249-4863.192334Test
https://doi.org/10.1016/S0873-2159Test(15)30201-4
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رقم الانضمام: edsbas.A607283E
قاعدة البيانات: BASE
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DOI:10.21518/2079-701X-2022-16-14-219-227