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Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 322-324

Isolated testicular tuberculosis with ethambutol cutaneous toxicity: A combination of two rare entities

1 Department of Internal Medicine, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal
2 Department of Pulmonology, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal

Correspondence Address:
Flávio Godinho Pereira
Internal Medicine Department, Centro Hospitalar do Baixo Vouga, AAvenida Doutor Artur Ravara, 3810 193 Aveiro
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmy.ijmy_114_20

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Tuberculosis (TB) is an infection that can affect any organ, affecting mainly the lungs. Isolated testicular TB is very rare. Six months of a multiple drug scheme is the mainstay of TB treatment. Adverse reaction to anti-TB chemotherapy is frequent and affects the course of the therapy, leading sometimes to discontinuation of drugs. Ethambutol optic nerve toxicity is frequent. However, severe cutaneous and anaphylactic reactions associated to ethambutol are very rare. We present the case of an immunocompetent patient presenting with isolated testicular TB that exhibited a severe cutaneous and anaphylactic reaction to ethambutol during the consolidation treatment phase. This led to exhaustive etiologic study and treatment modification.

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