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By Anonymous October 2, 2014 - 10:30pm
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Hello ....
My age 39 years ago , married and have three children,
I working in a hospital laboratory.
In half a year 2008 appeared a tumor or swelling at the top of the epididymis beginning without pain, then the situation has developed into severe pain and hydrocele and increased pain gradually without fever for six month .
Date : ( 2008)

I did not sex with others -never- just my wife , coincided with my case appeare pruritic scrotal in the external scrotum and a strange smell . When I went to the doctor gave me many types of antibiotics, such as:Ciprofloxacin tab, azithromycin tab, ceftriaxone vial 1gm, meronem iv for ten days( respectively), but no response to treatment to any of them .

And another picture before eight months the operation of removing the right testicle because the my doctor suspected I have (malignancy) .
Date : (2009)

After the operation , sent the biopsy to laboratory the result is : has been chronic infection as follows:

Then, after less than four years the same symptoms appeared on the other side (left) of the testis, as shown:
Date : (13/8/2012)

And then described to me one of the doctors treating levofoxacin 500mg & cefixim for three months as a chronic infaction result was(good) that swelling came down to the normal size. just pain in trail of epididymis(systic lesion).
I tooke cefodroxil for two month but no response :

Date : (22/3/2013)

Then after three mounth the swelling returned with thickening of spermatic cord and pain in the vas deferans & lymph nodes as shown:

Date : (24/4/2014)

Then I took ciprofloxacin tab & doxycyclin cap for 15 days ,
but no response
Than my doctor suspected tuberculosis .

I did all tests of tb such as :
PCR for seminal and hydrocyle for TB & culture for Tb
All of the results :(Negative)
also that the ESR = 7 ....& C. reactive protin = Negative
As well as the examination of the chest xray = good ,
culture of semen and urine =(no groth)

and also cytology of hydrocyle as shwon :

Then I did some tests : Date : (23/8/2014)

This is another new picture of full abdomen:
Date : (26/7/2014)

This is another picture of the testis:
Date :( 22/8/2014)

Also I took lyrica 75mg (pregabalin),
I am now I am suffering a pain in testicle- every day -,pain in Vas deferans some times with thickening cord.

I am now afraid for the remaining testicle(left side) of infammation .
Quistion :
1.What is the diagnosis of the case , what is effective treatment ?
2.Do you think I have TB ?how can I sure.
3.why this infection returned in another side ?

Your mind is very important – (sure).
I would be grateful to you .......
I will do prayer for you as long as you alive.......

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Hello Anonymous,

Welcome to EmpowHER. Thank you for sharing information about your very interesting medical condition. Thank you for reaching out to us with your questions, but I cannot provide you with a diagnosis or recommended treatments. Nor can I confirm if you have tuberculosis or why the infection returned and infected the left testicle.

For the benefit of all our readers, epididymitis is an inflammation of the coiled tube called the epididymis, which is located at the back of the testicle. It stores and carries sperm. Pain and swelling are the most common signs and symptoms.

A sexually transmitted disease, particularly gonorrhea and chlamydia is the most common cause of epididymitis in young, sexually active men.

However, a nonsexually transmitted bacterial infection is a more likely cause in boys, older men and homosexual men. For men and boys who've had urinary tract infections or prostate infections, bacteria may spread from the infected site to the epididymis. Rarely, epididymitis is caused by a fungal infection.

In some cases, tuberculosis can cause epididymitis. Urine in the epididymis can cause inflammation. This occurs when urine flows backward into the epididymis.

Epididymitis usually gets better with antibiotic treatment.

Anonymous, as a person who is employed in the laboratory department of a hospital, you are aware that blood tests may be used to confirm or rule out latent or active tuberculosis. These tests use sophisticated technology to measure your immune system's reaction to TB bacteria. QuantiFERON-TB Gold in-Tube test and T-Spot.TB test are two examples of TB blood tests.

Was the TB skin test negative? Did you have a blood test to rule out TB?

My only suggestion is to get a second opinion.


October 3, 2014 - 8:23am
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