Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding
Journal of Surgery
Volume 7, Issue 4, August 2019, Pages: 101-103
Received: May 17, 2019; Accepted: Jul. 1, 2019; Published: Jul. 12, 2019
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Authors
Hassan Shehu, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
Maryam Shehu, Department of Paediatrics, Bingham University Teaching Hospital, Jos, Nigeria
Oseni Momodu, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
Sunday Gargadi, Department of Surgery, Bingham University Teaching Hospital, Jos, Nigeria
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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.
Keywords
Cytology, Genitourinary Tuberculosis, Testis, Boy, Jos
To cite this article
Hassan Shehu, Maryam Shehu, Oseni Momodu, Sunday Gargadi, Isolated Testicular Tuberculosis in a 9-Year-Old Boy: An Incidental Finding, Journal of Surgery. Vol. 7, No. 4, 2019, pp. 101-103. doi: 10.11648/j.js.20190704.13
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Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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