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dc.contributor.authorÁlvarez-Jaramillo, Julianaspa
dc.contributor.authorOrtiz-Zableh, Ana Maríaspa
dc.contributor.authorTarazona-Jiménez, Pamelaspa
dc.contributor.authorOrtíz-Azuero, Alfredospa
dc.date.accessioned2020-10-27T14:19:19Z
dc.date.available2020-10-27T14:19:19Z
dc.date.issued2019-07-30
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/9928
dc.description.abstractIntroducción. La tuberculosis es una enfermedad infectocontagiosa que puede afectar cualquier órgano del cuerpo, incluyendo el sistema genitourinario, representando el 33.7-45.5 % de las tuberculosis extrapulmonares. El objetivo de este trabajo es reportar el caso de un paciente con hidrocele como manifestación inicial de tuberculosis genitourinaria y miliar, enfermedad que no se sospechaba. Presentación del caso. Paciente masculino previamente sano, que consulta a urgencias por orquialgia e hidrocele bilateral, con secreción purulenta por escroto, requiriendo manejo antibiótico intravenoso e hidrocelectomía derecha, con hallazgos intraoperatorios de engrosamiento del epidídimo derecho, y drenaje de material caseoso y purulento. Se realizó epididimectomía ipsilateral, se solicitaron pruebas de detección de bacilos tuberculosos en espécimen y derivado proteico purificado, que fueron positivas. En el postoperatorio presentó sintomatología respiratoria; paraclínicos evidenciaron compromiso pulmonar, pleural y de la vía urinaria por bacilos tuberculosos. Se inicia manejo antituberculoso con evolución satisfactoria. Discusión. El genitourinario es considerado el segundo sistema con mayor afectación de tuberculosis extrapulmonar. El órgano más afectado es el riñón (en un 80 % con respecto a los demás) y el órgano genital es el epidídimo (22 - 55 %). Debe sospecharse en pacientes con síntomas urinarios crónicos sin causa aparente. Se asocia a una alta tasa de morbimortalidad por infertilidad y falla renal. Conclusiones. A pesar de su sintomatología inespecífica y de tratarse de una entidad poco sospechada, la tuberculosis genitourinaria debe descartarse al existir tuberculosis pulmonar. Su diagnóstico y tratamiento oportuno serán de gran importancia para evitar complicaciones secundarias.spa
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dc.language.isospaspa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3534/3076
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/3534/3087
dc.relation/*ref*/Chang AH, Blackburn B, Hsieh M. Tuberculosis and Parasitic Infections of the Genitourinary Tract. En: Campbell-Walsh urology. 11th ed. Elsevier; 2016. p. 421-446.e5. 2. WHO. Global tuberculosis report 2017 [Internet]. Report. 2017. Disponible en: https://www.who.int/campaigns/ tb-day/2018/exe_summary_es.pdf?ua= 3. Kulchavenya E, Naber K, Bjerklund Johansen TE. Urogenital Tuberculosis: Classification, Diagnosis, and Treatment. Eur Urol Suppl. 2016;15(4):112–21. 4. Instituto nacional de S. Informe del Evento: Tuberculosis Colombia 2017 [Internet]. 2017 [cited 2003 Sep 20]. Disponible en: https://www.ins.gov.co/ buscadoreventos/Informesdeevento/Tuberculosis 2017.p%0D%0Adf%0D%0A 5. Díaz ML, Muñoz S, Garcíad LB. Tuberculosis en el Hospital Universitario San José, Popayán, 1998-2000. Biomédica. 2014;24(0):92. 6. Yadav S, Singh P, Hemal A, Kumar R. Genital tuberculosis: current status of diagnosis and management. Traducción de Androl Urol [Internet]. 2017;6(2):222– 33. Disponible en: http://tau.amegroups.com/article/ view/13854/14808 7. Kulchavenya E. Urogenital tuberculosis: Definition and classification. Ther Adv Infect Dis. 2014;2(6):117– 22. 8. Zachoval R, Nencka P, Vasakova M, Kopecka E, Borovička V, Wallenfels J, et al. The incidence of subclinical forms of urogenital tuberculosis in patients with pulmonary tuberculosis. J Infect Public Health. 2017; 11:243–5. 9. Woldenberg N, Patel MK, Hansen G. Tuberculous epididymitis a case of tuberculous epididymitis that was the presenting manifestation of extrapulmonary and pulmonary tuberculoses. Ultrasound Q. 2015;31(3):192–4. 10. Barandica L, Cabrera B, Cuadrado BS. Tuberculosis Testicular: Reporte de un Caso Testicular Tuberculosis: Case Report. Urol Colomb [Internet]. 2017;38. Disponible en: https://www.thieme-connect.com/ products/ejournals/abstract/10.1055/s-0038-1648212 11. Passos MRL, Ferreira DC, Arze WNC, Silva JCS, Passos FDL, Curvelo JAR. Penile myiasis as a differential diagnosis for genital ulcer: a case report. Braz J Infect Dis. 2008;12(2):155–7. 12. Mantilla Hernández JC, Cárdenas Durán N, Castellanos Bustos DA. Tuberculosis genitourinaria: Reporte. Salud UIS. 2008; 41:2009. 13. Pardo L, Gutiérrez C, Carrillo Bayona J, Polo Nieto F. Tuberculosis miliar y orquiepididimitis tuberculosa en un paciente inmunocompetente: reporte de caso. Urol Colomb [Internet]. 2018;38. Disponible en: https:// www.thieme-connect.com/products/ejournals/pdf/ 10.1055/s-0038-1648212.pdf 14. Kulchavenya E. Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy. Springer; 2014. 146 p. 15. Figueiredo AA, Lucon AM, Srougi M. Urogenital Tuberculosis. Tuberc Nontuberculous Mycobact Infect Seventh Ed [Internet]. 2017;355–70. Disponible en: http://www.asmscience.org/content/ book/10.1128/9781555819866.chap22 16. Gupta B, Shree S, Rajaram S, Goel N. Genital tuberculosis: Unusual presentations. Int J Mycobacteriology [Internet]. 2016;5(3):357–9. Disponible en: http:// dx.doi.org/10.1016/j.ijmyco.2016.06.017 17. Hosamirudsari H, Mohammadizia F. Unilateral tuberculous epididymo-orchitis with scrotal fistula: A case report. Iran J Pathol. 2015;10(2):165–8. 18. García IG, Mampaso EG, Revilla JB, Molina MR, Crespo AS, Buitrago LA, et al. Tuberculous orchiepididymitis during 1978-2003 period: Review of 34 cases and role of 16SrRNA amplification. Urology [Internet]. 2010;76(4):776–81. Disponible en: http:// dx.doi.org/10.1016/j.urology.2010.01.033 19. Castro-Duarte Juan Carlos, López-Alarcón Alejandro, Villegas-Capiz Jorge V-CMA. Tuberculosis genitourinaria - Editorial Elsevier. Rev Mex Urol [Internet]. 2011;71(81):18–21. Available from: http://www.elsevier. es/es/revistas/revista-mexicana-urologia-302/ tuberculosis-genitourinaria-90000960-casos-clinicos- 2011 20. Protección Social M. Guía de atención de la tuberculosis pulmonar y extrapulmonar. Guías de promoción de la salud y prevención de enfermedades en la salud pública. 2015. 21. Abbara A, Davidson RN. Etiology and management of genitourinary tuberculosis. Nat Rev Urol [Internet]. 2011;8(12):678–88. Disponible en: http://dx.doi. org/10.1038/nrurol.2011.172
dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/3534
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceMedUNAB; Vol. 22 Núm. 1 (2019): abril - julio 2019: Cáncer Colorrectal, Sensation Seeking, Anticoagulantes; 71-78
dc.titleHidrocele como manifestación inicial de tuberculosis genitourinaria y miliarspa
dc.title.translatedHydrocele as initial manifestation of genitourinary and miliary tuberculosiseng
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programPregrado Medicinaspa
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501
dc.subject.keywordsTuberculosiseng
dc.subject.keywordsUrogenital tuberculosiseng
dc.subject.keywordsMale genitalia Tuberculosiseng
dc.subject.keywordsKidney tuberculosiseng
dc.subject.keywordsEpididymiseng
dc.subject.keywordsTesticular hydroceleeng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.contributor.orcidÁlvarez-Jaramillo, Juliana [0000-0003-1711-5982]spa
dc.contributor.orcidOrtiz-Zableh, Ana María [0000-0003-4152-9747]spa
dc.contributor.orcidTarazona-Jiménez, Pamela [0000-0003-3077-5723]spa
dc.subject.lembTuberculosis urogenitalspa
dc.subject.lembTuberculosis de los genitales masculinosspa
dc.subject.lembTuberculosis renalspa
dc.subject.lembEpidídimospa
dc.subject.lembHidrocele testicularspa
dc.identifier.repourlrepourl:https://repository.unab.edu.co
dc.description.abstractenglishIntroduction. Tuberculosis is an infectious disease that can affect any organ in the body, including the genitourinary system, which accounts for 33.7 - 45.5 % of non-pulmonary tuberculosis cases. The purpose of this paper is to report a case of hydrocele as initial manifestation of genitourinary and miliary tuberculosis, which was an unsuspected disease. Case Presentation. Previously healthy male patient is admitted to emergencies due to orchialgia and bilateral hydrocele, with purulent secretion from the scrotum. Was managed with intravenous antibiotic and right hydrocelectomy. Intraoperative findings of thickening of right epididymis and drainage of caseous and purulent material. Ipsilateral epididymectomy was performed; testing for detection of tubercle bacillus in specimen and purified protein derivative was requested, and was found positive. In the postoperative period, respiratory symptoms arose; paraclinical tests found compromised lungs, pleura and urinary tract by tubercle bacillus. Antituberculous treatment was initiated with satisfactory evolution. Discussion. The genitourinary system is the second-most affected system by nonpulmonary tuberculosis. The most affected organ is the kidney (by 80 % compared to the others) and the most affected genital organ is the epididymis (22 - 55 %). It should be suspected in patients with chronic urinary symptoms with no apparent cause. It is associated with a high rate of morbidity and mortality due to infertility and kidney failure. Conclusions. Despite the non-specific symptoms and because it is not normally a suspected entity, genitourinary tuberculosis should be ruled out when pulmonary tuberculosis exists. Timely diagnosis and treatment are very important in order to prevent secondary complications.eng
dc.identifier.doi10.29375/01237047.3534
dc.type.redcolhttp://purl.org/redcol/resource_type/ART
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*


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