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

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.