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Revista mexicana de urología
On-line version ISSN 2007-4085Print version ISSN 0185-4542
Abstract
CERDA-GUERRERO, Enrique de Jesús and RODRIGUEZ-RIVERA, José Arturo. Testicular tuberculosis: A case report and literature review. Rev. mex. urol. [online]. 2020, vol.80, n.3, e10. Epub Mar 07, 2022. ISSN 2007-4085. https://doi.org/10.48193/rmu.v80i3.542.
Clinical case:
A 33-year-old man with a family history of pulmonary tuberculosis sought medical consultation due to predominantly nocturnal fever and the perception of a painless right testicular mass. He had no other associated symptoms and tumor markers were within normal ranges.
Relevance:
According to World Health Organization figures, infection due to Mycobacterium tuberculosis is the most frequent opportunistic infection worldwide.
Conclusion:
The characteristic clinical presentation of testicular tuberculosis is a painless testicular mass that is difficult to differentiate from a malignant tumor. Nonspecific laboratory and imaging findings, together with low diagnostic suspicion, result in a high percentage of late diagnoses. At present, the disease is detected through pathologic findings in the surgical specimen, in a considerable number of patients. Even though short-term and medium-term outcomes tend to be favorable, one of the long-term complications of testicular tuberculosis is infertility, secondary to the destruction of the testicular parenchyma and/or obstruction of the sperm release pathway.
Keywords : Testicular tuberculosis; genital tuberculosis; genitourinary tuberculosis.