Testicular Tuberculosis: A Rarely Thought of Diagnosis

  • Levy Muchemwa Maina Soko Military Hospital; Department of Medicine
  • Patrick Lungu University Teaching Hospital, Department of Medicine
  • Aaron Shibemba University Teaching Hospital-Lusaka, Department of Pathology and Microbiology
  • Keith Simfukwe Maina Soko Military Hospital; Department of Medicine
  • Evans Malyangu Lusaka Apex Medical University; Department of Medicine & Directorate of Research & Post-graduate studies
  • Peter Mwaba Maina Soko Military Hospital; Department of Pathology
  • Michael Silumbe University Teaching Hospital; Department of Surgery


Mycobacterium tuberculosis primarily affects the lungs but it can also affect other organs in which it is known as Extrapulmonary tuberculosis (EPTB). The prevalence of genitourinary TB globally and including Tuberculosis (TB) in endemic areas is under reported. Like all forms of EPTB, testicular TB has no pathognomic feature. In the abscence of microbiological diagnosis, a constellation of clinical presentation, with investigation such as ultrasonography, histology and response to antituberculous drugs alongside a high index of suspicion is obliging in making the diagnosis. The diagnosis of testicular TB is often missed or delayed. We present an advanced case of testicular TB with good response to anti tuberculous drugs.


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