“…M. africanum has sporadically been identified in areas outside of the West African region, including Germany [9] , [35] , [36] , England [37] , California [38] , France [39] , and Spain [40] , both from pulmonary and extra-pulmonary sources. Case reports describe extra-pulmonary TB caused by M. africanum as disseminated disease [41] , cutaneous disease [42] , orchiepididymitis [40] , prostatitis [43] , pleural disease [44] , bone disease [45] , brain mass [46] , and proctitis [47] . However, in most cases, TB patients carrying M. africanum were immigrants from West Africa.…”