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タイトル: | 陰茎結核疹の1例 |
その他のタイトル: | Penile Tuberculosis : A Case Report |
著者: | 今中, 岳洋 野村, 広徳 辻村, 剛 洪, 陽子 金城, 孝則 吉岡, 巌 高田, 晋吾 八幡, 陽子 水谷, 晢 |
著者名の別形: | Imanaka, Takahiro Nomura, Hironori Tsujimura, Go Ko, Yoko Kinjyo, Takanori Yoshioka, Iwao Takada, Shingo Yahata, Yoko Mizutani, Tetsu |
キーワード: | Penile tuberculosis QFT |
発行日: | 30-Apr-2017 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 63 |
号: | 4 |
開始ページ: | 163 |
終了ページ: | 167 |
抄録: | A 66-year-old man presented with a chief complaint of glans penis pain, induration, and discharge of pus. He was prescribed a course of antibiotics, but the condition persisted despite treatment. Thus, we differrentially diagnosed the patient with penile tuberculosis and pyoderma gangrenosum, and performed a biopsy of the penis. The biopsy result was thickening of the horny layer epidermis with only a foreign body granuloma composed of inflammatory cells, and did not lead to a definitive diagnosis. Thoraca-abdominal computed tomography revealed axillary lymphadenopathy with necrosis. Suspecting tuberculosis lymphadenitis, we performed T-spot and QuantiFERONtests. The result was T-spot negative and QuantiFERONpositive, so we diagnosed the patient with penile tuberculosis, and started antituberculosis medication. In about half a year after the start of treatment the symptoms subsided, and lymphadenopathy showed reduction. |
著作権等: | 許諾条件により本文は2018/05/01に公開 |
DOI: | 10.14989/ActaUrolJap_63_4_163 |
URI: | http://hdl.handle.net/2433/224870 |
PubMed ID: | 28506054 |
出現コレクション: | Vol.63 No.4 |
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