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Thursday 13 March 2014

CASE 241: SEMINAL TUBERCULOSIS : Dr NGUYỄN MINH THIỀN, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCM C,VIETNAM


Man  51 yo, one month ago suffered from lowgrade  fever and dysuria. Chest Xray was in suspection of  lung tuberculosis.


Abdomen ultrasound  detected  many  lymph nodes around  aorta ( 2 ultrasound pictures) scanning  at level  of pancreas  (cros-sectional and longitudinal scan).


Ultrasound at pelvis detected one hypoechoic mass of right seminal vesicle, no vascular structure intra this mass.




MSCT also detected one mass on right site of prostate, suspected  abscess (2 CT pictures).


TRUS guided puncture this mass withdrew out the pus in white color  looked like caseum. Analysis this pus was  positive PCR tuberculosis.





 
Conclusion of this case :  tuberculosis of the lung, lymph nodes, and  seminal  vesicular mass.  Medical treatment  of antituberculosis drugs was setting up for the patient.

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