Kocaeli Med J. 2014; 3(1): 26-29

Investigation of tuberculous epididymitis together with presentation of two cases in light of the literature

Basri Çakýroðlu¹, Orhan Dalkýlýç², Ramazan Gözüküçük³, Lora Ateþ⁴, Süleyman Hilmi Aksoy⁵, Yunus Nas^3
1Hisar Intercontinental Hospital Deparment Of Urology, Istanbul, Turkey
²Hisar Intercontinental Hospital Department Of Respiratuary, Istanbul,turkey
³Hisar Intercontinental Hospital Deparment Of Infection Diseas, Istanbul, Turkey
⁴Hisar Intercontinental Hospital Pathology Department, Istanbul, Turkey
⁵Hisar Intercontinental Hospital Department Of Radiology, Istanbul, Turkey

Tuberculosis epididymitis is a rare illness of which diagnosis is difficult to made. Mycobacterium tuberculosis infection primarily effects lungs. Genitourinary system tubercolusis occurs via hematogenous spread in % 10 – 20 of these effected patients. Genitourinary tuberculosis mostly effects kidneys, prostate and epididymis in men. Extrapulmonary tuberculosis is difficult to diagnose and treatment is more difficult compared with pulmonary tuberculosis. Mostly invasive procedures are required for diagnosis. Two cases of which are diagnosed as tuberculosis epididymitis in excisional epididiym biopsy are presented here.

Keywords: Tuberculosis, extrapulmonary tuberculosis, epididymitis

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Ýki olgu eþliðinde tüberküloz epididimit ve literatürün gözden geçirilmesi

Basri Çakýroðlu¹, Orhan Dalkýlýç², Ramazan Gözüküçük³, Lora Ateþ⁴, Süleyman Hilmi Aksoy⁵, Yunus Nas^3
1Hisar Intercontinental Hospital Üroloji Kliniði, Ýstanbul
²Hisar Intercontinental Hospital Göðüs Hastalýklarý Ve Tuberküloz Kliniði, Ýstanbul
³Hisar Intercontinental Hospital Enfeksiyon Hastalýklarý Kliniði, Ýstanbul
⁴Hisar Intercontinental Hospital Patoloji Bölümü, Ýstanbul
⁵Hisar Intercontinental Hospital Radyoloji Bölümü, Ýstanbul

Tüberküloz epididimit tanýsý zor konan ve nadir görülen bir hastalýktýr. Mycobacterium tuberculosis enfeksiyonu öncelikle akciðerleri tutar, bu hastalarýn %10-20’sinde hematojen yayýlýmla genitoüriner sistem tutulumu izlenir. Genitoüriner tüberküloz erkekte en sýk böbrek, prostat ve epididimi etkiler. Akciðer dýþý tüberkülozun akciðer tüberkülozuna göre taný ve tedavisi daha zordur ve çoðunlukla taný için invaziv giriþimler gerekmektedir. Eksizyonel epididim biyopsisinde epididim tüberkülozu saptanan iki hasta olgu olarak sunulmuþtur.

Anahtar Kelimeler: Tüberküloz, ekstrapulmoner tüberküloz, epididimit,

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