title: Tuberculous epididymo-orchitis masquerading as acute scrotum.
abstract: An 18-year-old boy, a refugee from Afghanistan, with no significant medical history, presented after 1 day of severe left testicular pain. History, clinical examination and scrotal ultrasound suggested the diagnosis of epididymo-orchitis. He was discharged on a 2-week course of amoxicillin/clavulanic acid. Six weeks later, he re-presented with a testicular abscess, continuous with the epididymal head. Incision and drainage led to laboratory confirmation of tuberculous infection. He was treated with isoniazid, rifampicin, ethambutol, pyrazinamide and vitamin B6 for 9 months, with good response. Despite meeting high-risk criteria for tuberculosis, our patient had a delayed diagnosis. We present the case and discuss the lessons learned.
authors: Department of General Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.
authors: Ned
authors: N
authors: Kinnear
authors: Department of Urology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors: Ivan
authors: I
authors: Hoh
authors: Department of Urology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors: Pedro
authors: P
authors: Campillo
authors: Department of Urology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
authors: John
authors: J
authors: Bolt
mesh_terms: D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004822:Epididymis / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D009920:Orchitis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D012611:Scrotum / Q000000981:diagnostic imaging / Q000473:pathology; D014389:Tuberculosis, Male Genital / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014463:Ultrasonography
chemical_list: D000995:Antitubercular Agents