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Tuberculosis of the testicle and epididymis.
—Except in cases of acute diffuse miliary tuberculosis the essential organ of generation in man is seldom the seat of primary tuberculosis. On the other hand, primary localization of the tubercle bacillus not infrequently takes place in the epididymis, when the infection often extends from here to the testicle. There must be vascular conditions or other local predisposing causes which are concerned in determining hematogenous infection of a tubercular nature in the epididymis which are absent or present to a lesser degree in the testicle. The epididymis is more often the seat of acute infective processes which prepare the soil for the bacillus of tuberculosis than the testicleswhich, to a certain extent, may explain the greater frequency with which primary tuberculosis occurs in the former than the latter. It must also be remembered that in descending tuberculosis from the upper portion of the
SENN N. TUBERCULOSIS OF THE MALE GENITAL ORGANS. JAMA. 1896;XXVII(5):257–263. doi:10.1001/jama.1896.02430830027001j
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