In September 10, 2022, an 18-year-old male patient presented with right testicular swelling associated with ulcer, fever, and night sweats. There was no weight loss. There was no history of TB or any other chronic disease. On physical examination, he was conscious and his general condition was good. Vital signs: heart rate: 110 bpm, respiratory rate: 23/mn, blood pressure: 130/80 mmHg and SPO2: 98. In the genital examination, unilateral right testicular swelling, round erythematous, mobile, no discharge, painless scrotal ulcer was present. There was no pathological feature in the other system examination. Examining laboratory tests: Hemogram sedimentation and biochemistry values were normal. Hepatitis serology (HBs Ag, Anti HBs, Anti HCV), syphilis (Treponema Pallidum Hemagglutination Assay) and HIV (Anti HIV test) Eliza were negative. There was no pathology in the posteroanterior chest radiograph. The biopsy specimen was stained with hematoxylin eosin and examined by direct microscopy. Areas of caseification leading to necrosis were seen (Figure 1). 
The patient's testicular examination revealed a unilateral palpable nodular mass (Figure 2). 
The patient was diagnosed with a definitive diagnosis according to the biopsy result, and four anti-TB treatments were planned (rifampicin 1x600 mg, isoniazid 1x300mg, pyrazinamide 1x1500 mg and ethambutol 1x1000 mg). The patient was followed up.