Introduction:

Peru has little information about the association of tuberculous orchiepididymitis in relation to immunosuppressed patients, being a country endemic for tuberculosis and having an increased prevalence of chronic non-communicable diseases such as diabetes, leading to misdiagnosis.

Clinical Case:

We present the case of a 70-year-old man with a history of type 2 diabetes mellitus who was admitted to the outpatient clinic due to dysuria and frequent urination. On physical examination, the right testicle was hard, not painful. The ultrasound showed signs of epididymal abscess in the scrotal wall of the right testis, so an infected neoplasm is suspected, performing a right orchiectomy. Later in the histological study, they show giant multinucleated Langhans-type cells with granulomatous areas suggestive of tuberculosis, so it is suggested that in the presence of urological symptoms in patients immunosuppressed tuberculosis is ruled out.

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