Chronic Epididymo-Orchitis Mimicking Tuberculosis
Turned Out to be Leprosy: A Case Report

Wajahat Ali

Case Report

Chronic Epididymo-Orchitis Mimicking Tuberculosis Turned Out to be Leprosy: A Case Report

Mukesh Chandra Arya¹*, Ankur Singhal², Vivek Vasudeo², Ajay Gandhi², Rakesh Singh² and Mahesh Sonwal²

¹Professor and Head, Department of urology, Sardar Patel medical college, Bikaner, Rajasthan, India

²Department of urology, Sardar Patel medical college, Bikaner, Rajasthan, India

Corresponding Author

Received Date: October 14, 2020; Published Date: November 23, 2020

Abstract

We report a 55-year male with a prior history of treatment for bilateral Epididymo-orchitis without relief. We thought of genitourinary tuberculosis (GUTB) or nonspecific Epididymo-orchitis as differentials. Suddenly he developed crops of lepromatous skin lesions. On reviewing the literature, we found the involvement of testes in leprosy in 60-90% of cases. However, urology literature and textbooks do not mention leprosy to be a differential diagnosis of orchitis or chronic Epididymo-orchitis. Therefore, testicular atrophy, infertility or chronic Epididymo-orchitis should make us consider the possibility of leprosy, considering the half of the global burden in India.

Keywords: Chronic Epididymo-orchitis; Testicular atrophy; Orchitis; Leprosy; Infertility

Abbreviations: GUTB: Genitourinary Tuberculosis; ED: Erectile Dysfunction; ENL: Erythema Nodosum Leprosum; MB MDT: Multibacillary Multi Drug Therapy; LUTS: Lower Urinary Tract Symptoms; UTI: Urinary Tract Infection; LH: Luteinizing Hormone; FSH: Follicle Stimulating Hormone

Article Details

Citation

Mukesh Chandra Arya, Ankur Singhal, Vivek Vasudeo, Ajay Gandhi, Rakesh Singh. Chronic Epididymo-Orchitis Mimicking Tuberculosis Turned Out to be Leprosy: A Case Report. Annal Urol & Nephrol. 2(3): 2020. AUN.MS.ID.000538.