Clinical Presentation and Diagnosis of Tuberculosis
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The patient did not only have tuberculosis of the ankle, he also had peripheral lymphatic tuberculosis, tuberculous mastitis (exceedingly rare in men), pleural thickening from past pleural tuberculosis, multiple abscesses, and had been operated for a presumable tuberculous epididymitis. While such multi-system disease in a young man should pose little difficulties in making the diagnosis of tuberculosis, it had not been taken into consideration for a prolonged period of time.