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Disseminated blastomycosis presenting with genitourinary abscesses.
Tyler A Wittmann1, Brendan T Waldoch1, Carley M Davis1
1Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA.
Urology Case Reports
|July 17, 2023
Summary
A rare case of genitourinary blastomycosis in a young male is presented. Prompt diagnosis and treatment with antifungal therapy led to a successful outcome, highlighting the importance of considering this fungal infection in genitourinary presentations.
Area of Science:
- Mycology
- Infectious Diseases
- Urology
Background:
- Blastomycosis is a systemic fungal infection caused by Blastomyces dermatitidis.
- Pulmonary and cutaneous manifestations are most common in disseminated blastomycosis.
- Genitourinary involvement is an uncommon presentation.
Observation:
- A 25-year-old male presented with prolonged fevers and testicular pain.
- Imaging revealed scrotal and prostatic abscesses.
- Surgical drainage yielded Blastomyces dermatitidis.
Findings:
- The patient received 12 months of oral antifungal therapy.
- Follow-up urine antigen testing for Blastomyces was negative.
- Successful treatment of genitourinary blastomycosis was achieved.
Implications:
- Genitourinary symptoms, though rare, should be considered in the differential diagnosis of blastomycosis.
- Early recognition and appropriate antifungal treatment are crucial for favorable outcomes.
- This case expands the understanding of Blastomyces dermatitidis genitourinary tropism.
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