https://scholars.lib.ntu.edu.tw/handle/123456789/542001
標題: | Penile tuberculosis associated with monoclonal gammopathy of undetermined significance | 作者: | Wu W.C.H. Chen S.-C. JU-TON HSIEH Chen J. HONG-CHIANG CHANG |
關鍵字: | Antibody; Genitourinary; Multiple myeloma; Mycobacterium | 公開日期: | 2006 | 出版社: | Scientific Communications International Ltd | 卷: | 105 | 期: | 9 | 起(迄)頁: | 753-755 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Mycobacterium tuberculosis (TB) infection of the penis is a rare but serious problem. We report a case of penile TB in a 75-year-old man who presented with fever and dyspnea. No active lung lesions except pleural and pericardial effusion were found on chest X-ray. Monoclonal gammopathy of undetermined significance was diagnosed after serum and urine electrophoresis studies, and repeated bone marrow studies. Genital examination showed diffuse papulonecrotic skin ulcers involving the whole penile shaft, extending ventrally to the median raphe of the scrotum. Pus smear showed positive acid-fast stain, and culture yielded M. tuberculosis. Culture of pleural and pericardial effusion was also positive for M. tuberculosis. Anti-TB treatment was given with isoniazid, ethambutol, rifampin and pyrazinamide, and the cutaneous lesion was noted to be healed at follow-up 6 months later. Although rare, the possibility of TB as a cause of genital ulcer should be kept in mind. ? 2006 Elsevier & Formosan Medical Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-33749335954&doi=10.1016%2fS0929-6646%2809%2960203-5&partnerID=40&md5=c815967d6bc36fb40b8124ffc2246edb https://scholars.lib.ntu.edu.tw/handle/123456789/542001 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(09)60203-5 | SDG/關鍵字: | ethambutol; isoniazid; pyrazinamide; rifampicin; aged; anamnesis; antibiotic resistance; article; bacterial strain; bacterium culture; case report; clinical feature; dose response; drug dose reduction; dyspnea; electrophoresis; fever; genital system examination; human; hyperuricemia; male; monoclonal immunoglobulinemia; Mycobacterium tuberculosis; nonhuman; penis tuberculosis; pericardial effusion; pleura effusion; retreatment; thorax radiography; treatment duration; treatment outcome; treatment withdrawal; urinalysis; urogenital tuberculosis; visual disorder |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。