OJU  Vol.3 No.2 , May 2013
Coccidioidomycosis of the Testis and Epididymis
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.
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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