Coccidioidomycosis of the Testis and Epididymis  

作　　者：Dane E. Klett Y. Mark Hong 

机构地区：[1]Department of Urology, Creighton University School of Medicine at St. Joseph’s Hospital & Medical Center, Phoenix, USA

出　　处：《Open Journal of Urology》2013年第2期87-89,共3页泌尿学期刊（英文）

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.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.

关 键 词：COCCIDIOIDOMYCOSIS TESTICULAR Mass EPIDIDYMITIS ORCHITIS Valley FEVER 

分 类 号：R73[医药卫生—肿瘤]