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A rare case of isolated tubercular epididymitis

Pulmonary tuberculosis is the most common form of tuberculosis. And extrapulmonary TB is seen only in 1015% cases. Genitourinary TB represents 2-4% of the tuberculosis cases or approximately 15% of TB extrapulmonary manifestations. In most cases, it clinically mimics other testicular lesions, such as testicular tumors, acute infection, infarction, or even testicular torsion. Middle aged males, especially of 20-40 years of age are most commonly affected, and presented with swelling of the scrotum with or without pain, with or without discharging sinus. Infertility may occur. The elderly age group has created diagnostic dilemma between the malignant testicle and testicular tuberculosis. USG of the scrotum and fine needle aspiration cytology confirm the diagnosis. For exclusion of testicular malignancy testicular biopsy is needed mainly in elderly age group. Anti-TB chemotherapy comprising rifampicin, isoniazid, pyrazinamide, and ethambutol is the mainstay of the treatment. Here we present a case of isolated tuberculous epididymitis in a 28 years old man after getting the written informed consent from him.