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Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding

Received: 17 May 2019     Accepted: 1 July 2019     Published: 12 July 2019
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Abstract

Isolated testicular Tuberculosis (TB) is a rare clinical condition. A 9-year old boy presented to the paediatric surgical clinic with a 3-month history of a painless mass in the right testis and 1-month history of low- grade continuous fever. The boy had normal anthropometry, no abnormal respiratory signs, there was a right hemiscrotal swelling with a solid hard, non- tender mass felt on the upper pole of the right testis. The chest radiograph was normal, histopatholgic results of the mass showed tuberculotic granuloma with caseous necrosis, FBC revealed WBC of 9.7×103/MM3, HCT-33% Platelets-357×103/MM3, Neutrophil-24, Lymphocyte-34, Eosinophils-1O, Monocyte-30, Basophils-2, ESR-26mm/hr, Mantoux-0mm2, Cytology smear revealed a mixed inflammation consisting mainly neutrophils and plasma cells with an eosinophilic background. Hydrocele fluid aspirate for M/C/S showed no significant bacterial growth. To date, no clinical method has been defined for the definitive diagnosis of such cases and the definitive diagnosis is only achieved by surgical exploration and histopathological examination. Testicular tuberculosis (TB), a rare form of (EP-TB), may present with diagnostic challenge.

Published in Journal of Surgery (Volume 7, Issue 4)
DOI 10.11648/j.js.20190704.13
Page(s) 101-103
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cytology, Genitourinary Tuberculosis, Testis, Boy, Jos

References
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[2] Article O, Singh JP, Priyadarshi V, Kundu AK, Bera MK, Pal DK. Table 1 : Characteristics GUTB patients in study Table 2 : Site of involvement in IVP in GUTB patients. Indian J Tuberc. 2012; 020 (09903605262): 15–22.
[3] Das A, Batabyal S, Bhattacharjee S, Sengupta A. A rare case of isolated testicular tuberculosis and review of literature. J Fam Med Prim care [Internet]. Wolters Kluwer -- Medknow Publications; 2016 [cited 2018 Sep 29]; 5 (2): 468–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27843865.
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[12] Gorse GJ, Belshe RB, Male genital tuberculosis: a review of the literature with instructive case reports. Rev Infect Dis. 1985; 7 (4): 511-24.
[13] Badmos KB, Tuberculous epididymo-orchitis mimicking a testicular tumour: a case report. African Health Sciences 2012; 12 (3): 396 - 398 http://dx.doi.org/10.4314/ahs.v12i3.24.
[14] Viswaroop BS, Kekre N, Gopalakrishnan G. Isolated tuberculous epididymitis: a review of forty cases. J Postgrad Med [Internet]. [cited 2018 Sep 29]; 51 (2): 109–11, discussion 111. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16006701.
[15] Viveiros F, Tente D, Espiridião P, Carvalho A, Duarte R. [Testicular tuberculosis: case report]. Rev Port Pneumol [Internet]. [cited 2018 Sep 29]; 15 (6): 1193–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19859635.
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Cite This Article
  • APA Style

    Hassan Shehu, Maryam Shehu, Oseni Momodu, Sunday Gargadi. (2019). Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding. Journal of Surgery, 7(4), 101-103. https://doi.org/10.11648/j.js.20190704.13

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    ACS Style

    Hassan Shehu; Maryam Shehu; Oseni Momodu; Sunday Gargadi. Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding. J. Surg. 2019, 7(4), 101-103. doi: 10.11648/j.js.20190704.13

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    AMA Style

    Hassan Shehu, Maryam Shehu, Oseni Momodu, Sunday Gargadi. Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding. J Surg. 2019;7(4):101-103. doi: 10.11648/j.js.20190704.13

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  • @article{10.11648/j.js.20190704.13,
      author = {Hassan Shehu and Maryam Shehu and Oseni Momodu and Sunday Gargadi},
      title = {Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding},
      journal = {Journal of Surgery},
      volume = {7},
      number = {4},
      pages = {101-103},
      doi = {10.11648/j.js.20190704.13},
      url = {https://doi.org/10.11648/j.js.20190704.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190704.13},
      abstract = {Isolated testicular Tuberculosis (TB) is a rare clinical condition. A 9-year old boy presented to the paediatric surgical clinic with a 3-month history of a painless mass in the right testis and 1-month history of low- grade continuous fever. The boy had normal anthropometry, no abnormal respiratory signs, there was a right hemiscrotal swelling with a solid hard, non- tender mass felt on the upper pole of the right testis. The chest radiograph was normal, histopatholgic results of the mass showed tuberculotic granuloma with caseous necrosis, FBC revealed WBC of 9.7×103/MM3, HCT-33%  Platelets-357×103/MM3, Neutrophil-24, Lymphocyte-34, Eosinophils-1O, Monocyte-30, Basophils-2, ESR-26mm/hr, Mantoux-0mm2, Cytology smear revealed a mixed inflammation consisting mainly neutrophils and plasma cells with an eosinophilic background. Hydrocele fluid aspirate for M/C/S showed no significant bacterial growth. To date, no clinical method has been defined for the definitive diagnosis of such cases and the definitive diagnosis is only achieved by surgical exploration and histopathological examination. Testicular tuberculosis (TB), a rare form of (EP-TB), may present with diagnostic challenge.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding
    AU  - Hassan Shehu
    AU  - Maryam Shehu
    AU  - Oseni Momodu
    AU  - Sunday Gargadi
    Y1  - 2019/07/12
    PY  - 2019
    N1  - https://doi.org/10.11648/j.js.20190704.13
    DO  - 10.11648/j.js.20190704.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 101
    EP  - 103
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20190704.13
    AB  - Isolated testicular Tuberculosis (TB) is a rare clinical condition. A 9-year old boy presented to the paediatric surgical clinic with a 3-month history of a painless mass in the right testis and 1-month history of low- grade continuous fever. The boy had normal anthropometry, no abnormal respiratory signs, there was a right hemiscrotal swelling with a solid hard, non- tender mass felt on the upper pole of the right testis. The chest radiograph was normal, histopatholgic results of the mass showed tuberculotic granuloma with caseous necrosis, FBC revealed WBC of 9.7×103/MM3, HCT-33%  Platelets-357×103/MM3, Neutrophil-24, Lymphocyte-34, Eosinophils-1O, Monocyte-30, Basophils-2, ESR-26mm/hr, Mantoux-0mm2, Cytology smear revealed a mixed inflammation consisting mainly neutrophils and plasma cells with an eosinophilic background. Hydrocele fluid aspirate for M/C/S showed no significant bacterial growth. To date, no clinical method has been defined for the definitive diagnosis of such cases and the definitive diagnosis is only achieved by surgical exploration and histopathological examination. Testicular tuberculosis (TB), a rare form of (EP-TB), may present with diagnostic challenge.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria

  • Department of Paediatrics, Bingham University Teaching Hospital, Jos, Nigeria

  • Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria

  • Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria

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