Background: Extrapulmonary drug-resistant tuberculosis is extremely rare and is almost always associated with poor treatment outcomes. This is partly due to the difficulty in confirming the diagnosis. Case Presentation: A 40-year-old HIV-negative male presented with a painless scrotal mass, low-grade fever, general malaise, night sweats, and no pulmonary symptoms. He was initially treated for malaria with no improvement. His final diagnosis was rifampicin-resistant tuberculosis following Xpert® MTB/RIF Ultra (Xpert-Ultra) assay performed on a fine needle aspirate of the scrotal mass. Second-line anti-tuberculosis medication was initiated, and the patient is being followed up with directly observed therapy. Conclusion: With the scale-up of Gene-Xpert technology, this case raises awareness about tuberculosis masquerading as a testicular mass and the possibility of extrapulmonary drugresistant tuberculosis in high endemic areas.
CITATION STYLE
Nuwagira, E., Yekosani, M., Abraham, B., Atwine, R., Caleb, T., & Baluku, J. B. (2021). Drug-resistant tuberculosis presenting as a testicular mass: A case report. International Medical Case Reports Journal, 14, 145–149. https://doi.org/10.2147/IMCRJ.S300216
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