Bannur Hema B, Malur Prakash R, Dhorigol Vijayalaxmi M
Department of Pathology, J. N. Medical College, Belgaum, Karnataka, India.
Acta Cytol. 2007 May-Jun;51(3):459-60. doi: 10.1159/000325767.
Although tuberculosis is one of the most common opportunistic infections in AIDS, the testis is rarely involved. Clinically, tubercular orchitis mimics malignancy. Fine needle aspiration (FNA) can be used to distinguish these 2 lesions.
A 34-year-old, heterosexual male presented with right scrotal swelling, loss of weight and fever. Clinically, malignancy was suspected. FNA showed a few lymphocytes and neutrophils in a necrotic background. Ziehl-Neelsen staining showed high acid-fast bacillus positivity. Serologic testing for HIV showed seropositivity for HIV I and II antibodies.
FNA is a useful modality in differentiating tuberculosis from malignancy. In developing countries, tuberculosis should be considered in cases of unilateral testicular enlargement. To the best of our knowledge, this is the third reported case of AIDS presenting as testicular tuberculosis.
尽管结核病是艾滋病最常见的机会性感染之一，但睾丸很少受累。临床上，结核性睾丸炎类似恶性肿瘤。细针穿刺抽吸（FNA）可用于区分这两种病变。
一名34岁的异性恋男性出现右侧阴囊肿胀、体重减轻和发热。临床上怀疑为恶性肿瘤。FNA显示在坏死背景中有少量淋巴细胞和中性粒细胞。齐-尼氏染色显示抗酸杆菌阳性率高。HIV血清学检测显示HIV I和II抗体呈血清阳性。
FNA是区分结核病和恶性肿瘤的有用方法。在发展中国家，单侧睾丸肿大的病例应考虑结核病。据我们所知，这是第三例报告的以睾丸结核表现的艾滋病病例。
