A rare case of tuberculosis diagnosed in Morocco

A rare case in a hospital. Suffering from swelling of the scrotum for eight weeks, a 41-year-old man was admitted to Ibn Sina University Hospital in Rabat. Doctors at the facility’s urology department diagnosed him with genitourinary tuberculosis, a rare type of tuberculosis (TB) that affects the genitals and urinary tract, the report said. The SUN. “In Morocco, tuberculosis is endemic, with an incidence of 97 cases per 100,000 people per year,” the doctors wrote in an article published in Urology Case Reports.

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The 41-year-old Moroccan patient had suffered from swelling of the left testicle for eight weeks. “The mass had gradually increased in size, reaching a diameter of 15 cm,” said the urologists who examined it. They proceeded to examine their patient, reporting that his left testicle was “firm, irregular and non-tender, while the right testicle was normal.” According to the ultrasound, “the scrotal wall appeared thickened with infiltration of surrounding tissues”, while a CT scan showed that the man’s bladder and kidneys had not been infected by tuberculosis.

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Fearing that the swelling in the 40-year-old’s testicle could become cancerous or spread to other parts of the body, doctors decided to surgically remove it. During the operation, they discovered that the man’s testicle was “extremely enlarged and had a necrotic and heterogeneous appearance.” Will undergo anti-tuberculosis treatment for six months. “The patient tolerated the treatment well and no significant side effects were reported,” assured the authors of the report. But his contact with tuberculosis was detrimental to him. His fertility was “permanently impaired” because there were no sperm in his semen. “Fertility problems are important in testicular tuberculosis,” the doctors added.