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TB epididymo-orchitis: A rare entity reveals the cause of a falsely diagnosed "COPD disease progression"
Authors Information

1Assistant Professor of Respiratory Medicine, Medical School, Aristotle University
of Thessaloniki, Pulmonary Department,
“G. Papanikolaou” Hospital, Thessaloniki, Greece
2Resident of Respiratory Medicine, Respiratory Failure Unit, “G. Papanikolaou” Hospital, Thessaloniki, Greece
3Consultant of Radiology, Radiology Department, “Agios Paulos” Hospital, Thessaloniki, Greece
4Professor of Respiratory Medicine, Medical School, Aristotle University of Thessaloniki, Pulmonary Department, “G. Papanikolaou” Hospital, Thessaloniki, Greece
5Professor of Respiratory Medicine and Infectious Diseases, Medical School, Aristotle University of Thessaloniki, Respiratory Failure Department, “G. Papanikolaou” Hospital, Thessaloniki, Greece

Abstract

A 57-year-old male, diagnosed with chronic obstructive pulmonary disease (COPD) at the age of 49, with rapid disease progression over the last six months, presented with a palpable nodule in his right testicle which progressed to abscess not responding to common antibiotics and was finally submitted to right orchiectomy. The histology of the resected tissue revealed caseating granulomas that set the diagnosis of Tuberculosis (TB) and the patient was re-evaluated for the deterioration of his COPD. Mycobacterium tuberculosis was isolated in his sputum and he was treated successfully with six months of anti-tuberculous treatment. TB is included in the differential diagnosis of both testicular nodules and deteriorating COPD. Had TB been suspected in the patient's initial evaluation, he would have avoided a severe deterioration of his respiratory function, a high-risk surgery and an unnecessary orchiectomy.

Pneumon 2020, 33(2):-0.