2021, Number 1
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Rev Mex Urol 2021; 81 (1)
Fungal epididymitis due to histoplasmosis: A case report
Plazola-Hernández A, Bustos-Rodríguez FJ, Orozco-Cortez P, Baltazar-Gómez A
Language: Spanish
References: 10
Page: 1-6
PDF size: 259.31 Kb.
ABSTRACT
Introduction: Epididymitis due to histoplasmosis is a rare pathology,
with only 10 cases reported in a total of 8 articles found up to the end
of 2020, in a direct search of international databases (PubMed, Scielo).
It manifests as a pseudo-tumor, causing clinical suspicion of malignancy,
and is more frequent in patients presenting with immunodeficiency,
especially HIV-AIDS.
A 22-year-old man underwent simple orchiectomy at the surgery
service due to a solid tumor adhered to the posterosuperior region of
the left testis.
The anatomic pathology service received a specimen labeled as
a 5x5x2.5cm left testis and a 3.5x2x2cm nodule, with a dark brown,
irregular surface of rubbery consistency. Sectioning revealed a smooth
light brown surface with light yellow areas. Diagnosis was epididymitis
due to histoplasmosis.
Conclusions: Epididymitis due to histoplasmosis is a rare pathology
and its diagnosis is made through microbiology. Once the diagnosed disease
is treated, undiagnosed immunodeficiency should be suspected.
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