Acquired immunodeficiency syndrome presenting as testicular tuberculosis.

A 50 year old heterosexual male presented with fever and cough with expectoration of months duration, and swelling in the right testis. The serological tests showed positivity for HIV 1 and 11 antibodies. Testicular biopsy from the right testis showed epitheloid cell granulomas with central caseous necrosis and peripheral mantle of lymphocytes and plasma cells. Zeihl-Neelsen stain on tissue sections showed AFB positivity. To the best of our knowledge this is the second reported case of acquired immunodeficiency syndrome presenting as testicular tuberculosis.