Urogenit Tract Infect.  2016 Apr;11(1):36-38. 10.14777/uti.2016.11.1.36.

Tuberculosis of the Glans Penis Presenting as Glans Gangrene

Affiliations
  • 1Department of Urology, Catholic University of Daegu School of Medicine, Daegu, Korea. jspark@cu.ac.kr

Abstract

Tuberculosis of the glans penis is rare. The clinical features of tuberculosis of the glans penis include the appearance of a superficial ulcer of the glans. We recently experienced a case of tuberculosis of the glans penis presenting as an ulcer, which progressed to glans necrosis. A 46-year-old man presented at our institution with painful ulcerative penile lesions. Initial pathological findings of the ulcers showed non-granulomatous inflammatory changes. He was treated with antibiotics and anti-inflammatory drugs for 6 months, and during that time, his glans ulcers progressed to glans gangrene. A partial glansectomy showed multiple epithelioid granulomas with central caseous necrosis, which was compatible with the findings of tuberculosis. The patient received anti-tuberculosis chemotherapy. The current case is reported to alert physicians to consider the possibility of tuberculosis when evaluating unusual penile glans lesions.

Keyword

Glans penis; Tuberculosis; Ulcer; Gangrene

MeSH Terms

Anti-Bacterial Agents
Drug Therapy
Gangrene*
Granuloma
Humans
Male
Middle Aged
Necrosis
Penis*
Tuberculosis*
Ulcer
Anti-Bacterial Agents
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