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Histoplasma capsulatum epididymitis

C A Kauffman, T G Slama, L J Wheat

    The Journal of Urology
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Histoplasmosis can cause epididymal abscesses, sometimes as the only symptom. This fungal infection requires differentiation from other serious conditions like tuberculosis and tumors.

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    Area of Science:

    • Infectious Diseases
    • Mycology
    • Urology

    Background:

    • Histoplasmosis is a systemic fungal infection typically affecting the lungs.
    • Genitourinary tract involvement is an uncommon but recognized manifestation of histoplasmosis.

    Observation:

    • Two cases of epididymal histoplasmosis are presented.
    • One patient presented with an epididymal abscess as the sole sign of histoplasmosis.
    • The second patient had an epididymal abscess concurrent with paratracheal lymphadenopathy.

    Findings:

    • Epididymal abscesses can be a presenting sign of disseminated histoplasmosis.
    • Histoplasmosis should be considered in the differential diagnosis of epididymal lesions.

    Implications:

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    • Accurate diagnosis of genitourinary histoplasmosis is crucial for appropriate treatment.
    • Distinguishing histoplasmosis from tuberculosis, malignancy, and other infections is essential for patient management.