Extrapulmonary Tuberculosis with Seminal Vesicle Involvement in an Immunocompetent Patient.
Padma Lahari Bayya, Mohini Singh, S R Ramakrishnan et al.
✦ AI-curated · Sources linked
Case in brief
A 54-year-old immunocompetent man presented with prolonged fever and a generalized seizure. Neuroimaging showed ring-enhancing lesions suggestive of tuberculomas; further evaluation found a seminal vesicle abscess and cervical lymphadenitis. Histopathological and microbiological analyses confirmed tuberculosis. He was treated with antitubercular therapy, anticonvulsants, and steroids.
What made this case unusual
Tuberculosis involved the seminal vesicle alongside suspected intracranial tuberculomas and cervical lymphadenitis in an immunocompetent patient without reported pulmonary disease.
Diagnostic / clinical pearl
Tuberculosis should remain in the differential when sterile pyuria or neurological symptoms occur, including in immunocompetent patients without pulmonary disease.