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Nuwagira E, Yekosani M, Abraham B, et al. Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report. Int Med Case Rep J. 2021;14:145-149doi: 10.2147/IMCRJ.S300216.
Nuwagira, E., Yekosani, M., Abraham, B., Atwine, R., Caleb, T., & Baluku, J. B. (2021). Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report. International medical case reports journal, 14145-149. https://doi.org/10.2147/IMCRJ.S300216
Nuwagira, Edwin, et al. "Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report." International medical case reports journal vol. 14 (2021): 145-149. doi: https://doi.org/10.2147/IMCRJ.S300216
Nuwagira E, Yekosani M, Abraham B, Atwine R, Caleb T, Baluku JB. Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report. Int Med Case Rep J. 2021 Mar 02;14:145-149. doi: 10.2147/IMCRJ.S300216. eCollection 2021. PMID: 33688269; PMCID: PMC7936665.
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Int Med Case Rep J. 2021 Mar 02;14:145-149. doi: 10.2147/IMCRJ.S300216. eCollection 2021.

Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report.

International medical case reports journal

Edwin Nuwagira, Mitala Yekosani, Birungi Abraham, Raymond Atwine, Tuhumwire Caleb, Joseph Baruch Baluku

Affiliations

  1. Department of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
  2. Department of Pathology, Mbarara University of Science and Technology, Mbarara, Uganda.
  3. Department of Surgery, Mbarara University of Science and Technology, Mbarara, Uganda.
  4. Division of Pulmonology, Mulago National Referral Hospital, Kampala, Uganda.

PMID: 33688269 PMCID: PMC7936665 DOI: 10.2147/IMCRJ.S300216

Abstract

BACKGROUND: Extrapulmonary drug-resistant tuberculosis is extremely rare and is almost always associated with poor treatment outcomes. This is partly due to the difficulty in confirming the diagnosis.

CASE PRESENTATION: A 40-year-old HIV-negative male presented with a painless scrotal mass, low-grade fever, general malaise, night sweats, and no pulmonary symptoms. He was initially treated for malaria with no improvement. His final diagnosis was rifampicin-resistant tuberculosis following Xpert

CONCLUSION: With the scale-up of Gene-Xpert technology, this case raises awareness about tuberculosis masquerading as a testicular mass and the possibility of extrapulmonary drug-resistant tuberculosis in high endemic areas.

© 2021 Nuwagira et al.

Keywords: Uganda; drug-resistant tuberculosis; extrapulmonary tuberculosis; genitourinary tuberculosis; sub-Saharan Africa; tuberculous orchitis

Conflict of interest statement

The authors have no conflicts of interest to declare for this work.

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