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      Nodulo-ulcerative Tuberculosis of the Glans Penis—A Case Report and a Discussion on Nomenclature of Genital Tuberculosis

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          Abstract

          Lupus vulgaris is a chronic paucibacillary form of cutaneous tuberculosis occurring in a person with a moderate to high degree of immunity. It commonly occurs over the buttocks and trunk in India. Involvement of the genitalia is uncommon, and lesions involving the penis, extremely rare with few cases reported worldwide. There also exists a confusion regarding nosology of tuberculosis of the genitalia. A brief discussion and review of literature are being discussed along with the report of a case of genital tuberculosis involving the glans penis.

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          Most cited references11

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          Genitourinary tuberculosis.

          S Lenk, J Schroeder (2000)
          The worldwide prevalence of tuberculosis is still high and has remained almost unchanged over the past century as a result of increasing incidence in countries of the Third World. Twenty per cent of patients with tuberculosis will develop an extrapulmonary manifestation over time, the most common site being the genitourinary tract. The patient's history can lead to the sometimes difficult diagnosis. Radiological imaging helps in depicting genitourinary tuberculosis. However, the diagnosis of genitourinary tuberculosis is made on the basis of culture studies and is supported by polymerase chain reaction. The latter has impressive sensitivity and specificity, but lacks the ability to determine biological activity. The combination of three or four anti-tuberculosis drugs over a course of 6 to 9 months remains the treatment of choice. Drug resistance is increasing and necessitates tight therapy control. Tuberculosis of the male seminal duct may be an important cause of male infertility as a result of multiple epididymidal scarring. In these cases testicular sperm extraction is the method of choice for sperm retrieval. The outcome of sperm retrieval followed by intracytoplasmatic sperm injection is not affected.
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            Cutaneous tuberculosis of the penis and sexual transmission of tuberculosis confirmed by molecular typing.

            B J Angus, Melissa Yates, Kathryn Conlon … (2001)
            A case of culture-positive primary cutaneous Mycobacterium tuberculosis infection of the penis was diagnosed in a male patient; 1 year later, endometrial tuberculosis was diagnosed in the patient's wife. These organisms were confirmed to be indistinguishable by use of molecular techniques.
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              Tuberculosis of the genitourinary system

              SA Merchant, S. Merchant (1993)
              Article 0 comments Cited 6 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Dermatol
                Journal ID (iso-abbrev): Indian J Dermatol
                Journal ID (publisher-id): IJD
                Title: Indian Journal of Dermatology
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0019-5154
                ISSN (Electronic): 1998-3611
                Publication date (Print): Sep-Oct 2015
                Volume: 60
                Issue: 5
                Pages: 506-508
                Affiliations
                [1] From the Department of Dermatology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
                [1 ] Department of Pathology, Burdwan Medical College and Hospital, Burdwan, West Bengal, India
                Author notes
                Address for correspondence: Dr. Samujjala Deb, C-45 New Raipur, Gangulybagan, Kolkata - 700 084, West Bengal, India. E-mail: samujjala.deb@ 123456gmail.com
                Article
                Publisher ID: IJD-60-506
                DOI: 10.4103/0019-5154.159661
                PMC ID: 4601424
                SO-VID: 2f24c1e2-25a8-4d01-bed4-d765023c7b61
                Copyright © Copyright: © Indian Journal of Dermatology
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Date received : August 2014
                Date accepted : December 2014
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dermatology
                Keywords: glans penis,genital tuberculosis,paucibacillary tuberculosis
                Data availability:
                ScienceOpen disciplines: Dermatology
                Keywords: glans penis, genital tuberculosis, paucibacillary tuberculosis

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