Coccidioidomycosis of the Testis and Epididymis

• 作者: Dane E. Klett Y. Mark Hong
• 来源期刊: 泌尿学期刊(英文)
• 学科: 医学
• 关键词: COCCIDIOIDOMYCOSIS TESTICULAR Mass EPIDIDYMITIS ORCHITIS Valley FEVER
• 年，卷（期）: 2013,（2）
• 页码范围: 87-89
• 页数: 3页
• 分类号: R73

摘要

This report describes an unusual presentation of a man with a testicular mass who presented in diabetic ketoacidosis to the emergency department. Initial diagnosis was a suspected testicular malignancy based on history, physical exam, and available laboratory and radiological imaging. Due to the possibility of a testicular malignancy, the patient was taken for immediate orchiectomy. Histology revealed coccidioido-mycosis of the left testicle and epididymis. Treatment with the appropriate antifungals was initiated. Despite aggressive multi-disciplinary therapy the patient continued to deteriorate and eventually expired as a result of the massive systemic infection. Literature review revealed the presentation of disseminated genitourinary coccidioidomycosis is rare and seldom reported.