Atypical testicular pain.

BMJ Case Reports
Nishant BediJas Kalsi

Abstract

Testicular tuberculosis (TB) is rare, and, because of this, the lack of pathognomonic clinical features and its tendency to mimic other commoner conditions, the diagnosis is frequently delayed or may be missed. In this case, the initial clinical presentation was typical for bacterial epididymo-orchitis in a 38-year-old man. When the patient failed to improve with standard treatment including broadening of antibiotics, the diagnosis was re-considered because some unusual signs suggested testicular malignancy or lymphoma. Further, history-taking and subsequent cross-sectional imaging with CT/MRI identified co-existent pulmonary nodularity, thoracic and abdominal lymphadenopathy and bony changes that, together, raised the suspicion of TB. Mycobacterium tuberculosis was confirmed on DNA-based testing of the hydrocele fluid, although standard acid-fast bacilli culture was negative. This case prompted a review of the literature to explore the optimal steps in the investigation and diagnosis of this rare disease.

References

Jun 15, 2007·QJM : Monthly Journal of the Association of Physicians·E M NourS J Quantrill
May 13, 2008·The Lancet Infectious Diseases·Jesse T JacobSusan M Ray
May 24, 2011·World Journal of Urology·Ekaterina KulchavenyaIrina Zhukova
Jan 1, 2011·Case Reports in Orthopedics·Ben Abdelghani KhaoulaAdel Khedher
Jan 1, 2012·Central European Journal of Urology·Thaddaeus Zajaczkowski
Feb 6, 2016·BMJ Case Reports·Ned KinnearJohn Bolt
Aug 19, 2016·Therapeutic Advances in Infectious Disease·Sherly AbrahamArvind Ankireddypalli
Sep 19, 2018·The Lancet. Respiratory Medicine·Tony Kirby

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Citations

Nov 7, 2019·BMJ Case Reports·Kamille Carstens HansenBo Langhoff Hønge
Mar 11, 2021·Expert Review of Anti-infective Therapy·Ekta Kamra, Promod K Mehta

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