Case Series of Testicular Tuberculosis in Calabar, South- South Nigeria
Keywords:Bilateral Tuberculosis, Scrotal Ulcer, Orchiectomy, Histopathology
Introduction: Bilateral testicular tuberculosis should be considered as an important differential of testicular
swelling and scrotal ulcer in a country like Nigeria with high burden of tuberculosis infection.
Case Reports: Here we present three cases of negroid male ranging in age from 39 years to 70 years who
had orchidectomy on account of testicular malignancy that turn out to be genital tuberculosis which was
Conclusion: Private medical practitioner in low income countries and in region of high tuberculosis burden
should always have a high index of suspicions for tuberculosis in patients presenting with scrotal ulcers or
testicular swelling that fails to respond to antibiotics therapy. Adequate evaluation of patients with testicular
swelling and ulcer by means of abdominal and scrotal ultrasound, bacteriological studies and PCR is
critical to diagnostic accuracy, optimal treatment and possibility of avoiding surgery in those with testicular
tuberculosis and guiding against litigation.
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