Primary tuberculosis of glans penis: a case report.

Case Report A 42 year male patient presented with recurrent papule formation with little itching on his glans penis, which soon rupture and turn to an ulcer. Small ulcers coalesce to form larger ulcer (fig 1). This repeated bout of ulcer formation was going on for several months. He was circumscribed and no complaint with urination. In spite of various treatments received from various private practitioners, his genital sore did not respond. We initially took wound swab for non specific bacteriological culture along with urine culture and started systemic and topical antibiotics. Culture yields no growth and very little response shown with antibiotic therapy for a month. He was a married man, exposed only to her wife, who was suffering chronic cervicitis for a long time and pregnant at that time. At this stage we have taken a biopsy from the ulcerated area that revealed granulomatous lesion compatible with tuberculosis. We examined and investigated further the patient for tuberculosis any where in the body especially pulmonary and genitourinary system. Patient was free from any sexually transmitted disease or any other significant diseases. We started four drug anti-TB therapy and followed up the patient monthly for six months. At one month ulcerated area became dry and at the end of anti-TB therapy wound healed with scar formation