Abstract
Mycobacterium tuberculosis can make disesase in all tissues and organs. Pulmonary-plevral disease are freqently seen, while organs involvement is seen rarely. 30% of extrapulmonary tuberculosis is seen as genitourinary tuberculosis. We presented a case dissemine tuberculosis begins as testicular disesease and goes on with soft tissue, bone involvement because of treatment delay.
March 2011, 21 year-old, male, convicted patient, orchioctomy was performed and reported as necrotising-granoulomatous-inflammation but no treatment was began due to patients himself and transfer process. September 2011, case was admitted to our hospital with weight lose, chest pain and abscess formation with fluctation in chest wall. Computed tomography showed pleural effusion, paravertebral abscess (psoas) and vertebral destruction. September 2011 HREZ treatment was began. Chest tube drainage performed to abscess. Vertebral MRI showed right paramedian protusion in posterior C5-6, destruction in T1-8 corpusand 18x6,5x8,5 cm uncapsulated collection extending into the spinal canal through the intervertebral foramen (tuberculosis osteomyelitis and cold abscess), in L5-9 mm granulom formation. In december 2011 T3-4 abscess drainage and laminectomy operation was performed. Postoperatif MRI approved abscess drainage. The culture of abscees was positive and the case is still following up without complaints.
Considering the trend of disease, 8 months treatment delay was happened on convicted patient as a result of patients himself, transfer process and doctor delays and his first diagnosis testicular tuberculosis is concluded with dissemine tuberculosis. As a result, early diagnosis and treatment of tuberculosis can protect the severe complications.
- © 2013 ERS