Isolated prostate tuberculosis: A rare condition

Abstract

Tuberculosis remains a global health threat, notably with a considerable burden of extrapulmonary cases. Prostate tuberculosis stands out as a rare and challenging diagnosis, often resulting in substantial management delays. In this report, we present the case of a 55-year-old man in whom initial suspicion of prostate cancer resulted in the diagnosis of prostate tuberculosis. The diagnostic methods, progressive features, and therapeutic tools of this rare condition are discussed.

Keywords: Endemic regions; Genitourinary tuberculosis; Pathological diagnosis; Prostate.

Fig. 1

Axial T2-weighted image of a multiparametric prostate MRI showing a 13 mm noncircumscribed, homogenous, moderately hypointense lesion (slide a) with markedly hypointense signal on ADC map (slide b).

Fig. 2

Pathology of prostate biopsy core showing multiple epithelioid granulomas (black arrows) with central necrosis (black asterisk), stained with H & E (Magnification: x10, slide a; x40, slide b).