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Coccidioidomycosis of the Testis and Epididymis

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DOI: 10.4236/oju.2013.32017    3,555 Downloads   5,204 Views   Citations

ABSTRACT

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.



Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

D. Klett and Y. Hong, "Coccidioidomycosis of the Testis and Epididymis," Open Journal of Urology, Vol. 3 No. 2, 2013, pp. 87-89. doi: 10.4236/oju.2013.32017.

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