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Year : 2016  |  Volume : 25  |  Issue : 4  |  Page : 387-390

An isolated tuberculousorchitis mimicking testicular tumour as a primary presentation of HIV: A case report

1 Department of Morbid Anatomy and Forensic Medicine, Usmanu Danfodiyo University, Sokoto, Nigeria
2 Department of Pathology, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria
3 Urology unit, Department of Surgery, Bayero University Kano/Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
A A Sule
Department of Pathology, Aminu Kano Teaching Hospital, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1115-2613.279422

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BACKGROUND: An isolated tuberculousorchitis is a rare lesion and is distinctly unusual as the primary presentation of human immunodeficiency virus (HIV) infection. A high index of suspicion remains decisive to this diagnosis especially when the clinico-radiological findings of such lesion affirmed features of the testiculartumour. CASE REPORT: A 32-year old man presented with a three-months history of left sided painless progressive testicular swelling. Further clinico-radiological findings revealed traits of a left testicular tumour. He was found to be HIV positive only at the index presentation whilst the histopathology of the left sided orchidectomy tissue confirmed tuberculous (TB) orchitis. CONCLUSION: High index of suspicion for TB orchitis with HIV in a patient with clinico-radiological findings of the testicular tumour from areas with high HIV and TB prevalence help in an expeditious diagnosis and therapy.

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