Tuberculosis of the Glans Penis Presenting as Glans Gangrene

Hong Seok Shin; Jae Shin Park

doi:10.14777/uti.2016.11.1.36

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Shin and Park: Tuberculosis of the Glans Penis Presenting as Glans Gangrene

Case Report

Urogenit Tract Infect 2016;11(1):36-38.

Published online: 20 January 2016

DOI: https://doi.org/10.14777/uti.2016.11.1.36

Tuberculosis of the Glans Penis Presenting as Glans Gangrene

Hong Seok Shin, Jae Shin Park

Department of Urology, Catholic University of Daegu School of Medicine, Daegu, Korea

Correspondence to: Jae Shin Park http://orcid.org/0000-0003-3409-1644 Department of Urology, Catholic University of Daegu School of Medicine, 33 Duryugongwon-ro 17-gil, Nam-gu, Daegu 42472, Korea Tel: +82-53-650-4662, Fax: +82-53-626-5301 E-mail: jspark@cu.ac.kr

Received 1 October 2015 Revised 9 November 2015 Accepted 17 November 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Glans penis, Tuberculosis, Ulcer, Gangrene

References

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Fig. 1.

His glans shows two painful adjacent 12×8 mm sized ulcers with peripheral dusky areas.

Fig. 2.

His glans lesions progressed to glans gangrene.

Fig. 3.

(A) Chronic granulomatous inflammatory lesions in epithelial cells with central caseation necrosis (arrow; H&E stain, ×100). (B) Multinucleated giant Langerhan's cells (arrowhead; H&E stain, ×400).

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