Departmental Bulletin Paper 陰茎結核疹の1例
Penile Tuberculosis : A Case Report

今中, 岳洋  ,  野村, 広徳  ,  辻村, 剛  ,  洪, 陽子  ,  金城, 孝則  ,  吉岡, 巌  ,  高田, 晋吾  ,  八幡, 陽子  ,  水谷, 晢

63 ( 4 )  , pp.163 - 167 , 2017-04-30 , 泌尿器科紀要刊行会
A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and performed a biopsy of the penis. The biopsy result was thickening of the horny layer epidermis with only a foreign body granuloma composed of inflammatory cells, and did not lead to a definitive diagnosis. Thoraca-abdominal computed tomography revealed axillary lymphadenopathy with necrosis. Suspecting tuberculosis lymphadenitis, we performed T-spot and QuantiFERONtests. The result was T-spot negative and QuantiFERONpositive, so we diagnosed the patient with penile tuberculosis, and started antituberculosis medication. In about half a year after the start of treatment the symptoms subsided, and lymphadenopathy showed reduction.

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