Tuberculosis of the testis: a case report.

A 45-year-old man visited our clinic with a painless swelling of the left scrotum and an ulcer as chief complaints. A hard and indurated mass was palpable with ulcerating foci that were proximal and distal, measuring 3 × 2 cm and 2 × 1 cm respectively and about 2 cm apart. Laboratory data were normal except for an elevated erythrocyte sedimentation rate (ESR), and white blood cell (WBC) differential showed neutropenia and lymphocytosis. A diagnosis of left testicular tumor was made and the patient had a left orchidectomy with fistulectomy. Histopathology results showed a stratified squamous epithelium with tuberculous granuloma and necrotic caseation. Patient is currently on anti-tubercular medication. The rarity of this condition makes these findings important to report.

Effects of acute bovine trypanosomosis (Trypanosoma vivax) on plasma kinetics of intravenously administered lactose.

Four calves infected with Trypanosoma vivax and four uninfected control calves were each injected intravenously with repeated doses of 0.5 g lactose kg-1 body weight, thrice daily at intervals of 4 h. Plasma samples were collected at specified time intervals and analysed for lactose. Pharmacokinetic parameters were calculated from the data. T. vivax infection delayed excretion of lactose from the body, thus leading to significantly (P < 0.001) increased biological half life (t1/2) and a significantly (P < 0.001) reduced elimination rate constant for lactose in the body. The apparent volume of distribution and total clearance of lactose were not affected by the infection. T. vivax infection also appeared to cause accumulation of lactose in the plasma after repeated intravenous administration.

Fasting hyperglycaemia and impaired oral glucose tolerance in acute Trypanosoma brucei infection of rats.

Trypanosoma brucei (Federe strain) produced all acute infection in rats given 10(6) parasites intraperitoneally. Parasitaemia, which first appeared at 2 days post-infection (pi), was heavy from day 5 until death at 8 to 12 days pi. The fasting tail-blood glucose (FBG) concentrations in the infected rats increased significantly (P<0.05) from 2.73+/-0.14 mmol/l on day 0 pi to 6.21+/-0.16 mmol/l and 5.93+/-0.33 mmol/l on days 5 and 8, respectively. However, the values had decreased in most of the rats on day 11 pi, at which time 4 out of 12 had less than 0.5 mmol/l. The mean FBG showed a quadratic relationship with the duration of infection and the fitted curve had a high goodness of fit (r2=0.98). Oral glucose tolerance was impaired in the infected rats on days 5, 8 and 11 pi. Tail-blood glucose concentration was determined 2 h after the intake of glucose (1.0 g/kg). The mean percentage increases in blood glucose from the FBG concentrations were significantly (P<0.05) higher in the infected than in uninfected rats. There was a positive correlation (r=1.0) between the mean percentage increases and the duration of infection. It seems probable, therefore, that the delivery of glucose into the tissues was reduced, with other metabolic implications likely to affect the pathogenesis of the disease.

Biochemical differences (O-acetyl and glycolyl groups) in erythrocyte surface sialic acids of trypanotolerant N'dama and trypanosusceptible Zebu cattle.

Differences in the distribution and concentration of O-acetyl and glycolyl groups in erythrocyte sialic acids of trypanotolerant N'dama and trypanosusceptible Zebu cattle were investigated. Erythrocyte surface sialic acid concentrations were 25.4 +/- 5.5 mg per dl and 5.9 +/- 0.97 mg per dl in N'dama and Zebu animals, respectively. In N'damas, O-acetyl and glycolyl groups were present in concentrations of 16.4 +/- 4.3 mg per dl and 12.8 +/- 2.9 mg per dl, respectively, whereas the corresponding values in Zebus were 2.8 +/- 5.0 mg per dl and 7.6 +/- 1.7 mg per dl, respectively. The differences between N'dama and Zebu cattle in surface sialic acids and in O-acetyl and glycolyl groups were significant (P < 0.01 to < 0.001). N'dama erythrocyte sialic acids had more O-acetyl than glycolyl groups while those of Zebus had less O-acetyl than glycolyl groups. These findings may be relevant to the trypanotolerance of N'dama cattle.