Drug-Resistant Tuberculosis Presenting as a Testicular Mass: A Case Report

Figures & data

Table 1 Patient’s Characteristics

Physical exam vitals	Blood pressure 118/70mmHg, temperature 36.6°C, pulse 76 beats per minute, respiratory rate 22 cycles per minute, oxygen saturation 98% at room air.
	Glasgow Coma Score 15/15
Laboratory findings	White cell count: 4.2 ×10^3/µl
	Neutrophil count: 2.7 ×10^3/µl
	Lymphocyte count: 0.92 ×10^3/µl
	Hemoglobin: 9.4g/dl
	Platelet count: 246 ×10^3/µl
	Erythrocyte sedimentation rate (ESR) 45mm/hr
	Aspartate aminotransferase (AST) 41 U/l
	Alanine transaminase (ALT) 31 U/l

Figure 1 Normal chest X-ray. Histology of the left testis.

Figure 2 Shows the histology of the left testis (H&E stain). (A) Low power (×5); granulomas (arrows). (B) Low power (×10); caseous necrosis (arrow), numerous inflammatory cells (asterisk) and classic Langhan giant cells (arrowheads). (C) Low power (×10); numerous Langhan giant cells (arrowhead) and granuloma with caseation (arrow). (D) ×20 magnification showing atrophic seminiferous tubules (arrows) with interspersed inflammatory cells (asterisk) and Langhan giant cells (arrowhead).