Serious complications of tuberculous epididymitis

• Published in: Infection Vol. 28; no. 3; pp. 193 - 195
• Main Authors: Skoutelis, A, Marangos, M, Petsas, T, Chionis, I, Barbalias, G, Bassaris, H
• Format: Journal Article
• Language: English
• Published: Germany Springer Nature B.V 01.05.2000
• Subjects: Addison Disease - complications; Adult; Anti-Inflammatory Agents - therapeutic use; Antibiotics, Antitubercular - therapeutic use; Central nervous system; Epididymitis - complications; Epididymitis - drug therapy; Fatal Outcome; Fludrocortisone - therapeutic use; Humans; Hydrocortisone - therapeutic use; Male; Mycobacterium tuberculosis - isolation & purification; Psoas Abscess - complications; Psoas Abscess - diagnosis; Psoas Abscess - drug therapy; Rifampin - therapeutic use; Tomography, X-Ray Computed; Tuberculosis - complications; Tuberculosis - drug therapy; Ultrasonography
• ISSN: 0300-8126; 1439-0973
• DOI: 10.1007/s150100050080

Tuberculous epididymitis is a rare entity associated with minor complications. We present two cases of tuberculous epididymitis associated with serious complications (bilateral psoas abscesses and Addison's disease with psoas abscess). A review of the literature disclosed six additional cases associated with serious complications (Addison's disease, inappropriate antidiuretic hormone secretion, central nervous system involvement) which are discussed and compared to these cases. We conclude that tuberculous epididymitis represents a grave sequela of genital tract involvement and may be associated with serious and even fatal complications.