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Open Access 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


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

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