01620nas a2200229   4500000000100000008004100001653001200042653001500054653002100069653001300090653002000103100001500123700001300138700001600151700001300167245005500180856007300235300001200308490000600320520105000326022001401376       2018                            d10aleprosy10aFilariasis10aHansen's disease10aReaction10aTesticular pain1 aVashisht D1 aOberoi B1 aVenugopal R1 aBaveja S00aAcute scrotum: Hansen's disease versus filariasis.  uhttp://www.ijmyco.org/temp/IntJMycobacteriol72195-2160994_060009.pdf  a195-1970 v73 a<p>Hansen's disease is caused by Mycobacterium leprae. The disease is known to involve the visceral organs including the testis apart from the skin and nerves in the lepromatous pole of leprosy due to widespread hematogenous dissemination of lepra bacilli. Furthermore, there can be testicular pain during the type 2 reaction in Hansen's disease. Filariasis is a disease caused by the parasitic nematode, Wuchereria bancrofti. This infection most commonly results in lymphedema and secondary vaginal hydrocele with an associated epididymo-orchitis. Acute epididymo-orchitis is either seen in the acute phase or as a part of secondary bacterial infections. The particular interest of this paper is to report the case of Hansen's disease who presented with testicular pain and posed a diagnostic dilemma when his pain did not respond to the standard mode of treatment and an alternate rare diagnosis was sought. This case report also emphasizes the need of reconsideration of diagnosis when the patient is not responding to standard therapy.</p>
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