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Revista mexicana de urología
On-line version ISSN 2007-4085Print version ISSN 0185-4542
Abstract
PLAZOLA-HERNANDEZ, Alejandro; BUSTOS-RODRIGUEZ, Felipe de Jesús; OROZCO-CORTEZ, Pascual and BALTAZAR-GOMEZ, Adriana. Fungal epididymitis due to histoplasmosis: A case report. Rev. mex. urol. [online]. 2021, vol.81, n.1, e09. Epub Mar 31, 2023. ISSN 2007-4085. https://doi.org/10.48193/revistamexicanadeurologa.v81i1.433.
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.
Keywords : Epididymitis; Histoplasmosis; Pseudo-tumor; Orchiectomy.