The fact that tuberculosis and syphilis frequently coexist in a patient is attested by experience.
REPORT OF CASE
History.
—J. S., a colored man, aged 48, a laborer, single, admitted to the urologic service, Aug. 3, 1921, complained of swelling in the left inguinal region of two months' duration, starting with swelling in the corresponding testicle and traveling to the groin.
Physical Examination.
—There was a swelling in the left inguinal region about the size of a small egg, indurated in character, with a slight amount of tenderness present. There was slight involvement of the neighboring gland on each side of the swelling. The left testicle felt normal, but the epididymis was enlarged, hard and somewhat tender, with distinct small nodules on the vas, which also felt thickened. The right testicle was involved in a small mass, and presented several small distinctly nodular spots on its surface. The epididymis on