Presentation
Presents with right wrist pain, swelling and deformity. Complains of pain and swollen right testicle. Dry cough. Exposure to TB in the Army 30 years ago in the dormitory.
Patient Data
Age: 55 years
Gender: Male
From the case:
Disseminated tuberculosis to wrist and testes
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Info
- multiple lytic lucencies in all the carpal bones, base of metacarpals, and distal radius
- juxta articular osteopenia
- no osteophytes
- no joint narrowing
Typically, the metaphyses are involved,
Osteopenia and poorly defined lytic lesions
minimal surrounding sclerosis.
From the case:
Disseminated tuberculosis to wrist and testes
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Info
Tree in bud opacities suggesting transbronchial spread of tubeculosis. Suggesting very active TB.
From the case:
Disseminated tuberculosis to wrist and testes
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Info
Infiltrative process in the right testicle. This testicle was normal on ultrasound 6 months prior.
Case Discussion
The work up for sexually transmitted diseases were negative. His sputum culture was positive for Mycobacterium tuberculosis. He was discharged home on ethambutol, rifampin, pyrazinamide and pyridoxine.
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