An immunocompetent young patient with tuberculosis of the penis: a challenging case

作者：Rotaru Maria; Taban Sorina^*; Taroi Mona; Patrascu Virgil; Popa Florina Ligia

来源：Romanian Journal of Morphology and Embryology, 2015, 56(2): 569-574.

• mucocutaneous tuberculosis
• genital chancre
• granuloma
• penile ulcer
• primary inoculation

Tuberculous chancre is an extremely rare form of cutaneous tuberculosis. The genital area is a possible site of presentation. We present a case of a young male with a persistent balanopreputial ulceration resembling a luetic chancre with negative serology for syphilis. The diagnosis was based on the specific pathologic features and the positive intradermal reaction to tuberculin. A successful treatment was achieved by combining antituberculosis treatment and surgical approach with circumcision. After six months of antituberculosis treatment, the patient developed paradoxical inguinal lymph node enlargement, which, after surgical excision and biopsy, was not followed by a relapse of the disease and needed no further therapy. Tuberculosis should be considered a potential diagnosis in the case of a persistent genital ulcer.

• 出版日期2015