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[Syphilitic orchitis: report of a case]
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1993
Summary
Syphilitic orchitis, a rare condition in Japan, presented as testicular swelling in a 44-year-old man. Diagnosis involved positive syphilis tests and pathological findings of granulomatous inflammation, highlighting challenges in distinguishing it from other testicular diseases.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Syphilitic orchitis is an uncommon manifestation of syphilis, particularly rare in Japan.
- Early diagnosis and differentiation from other testicular pathologies are crucial for effective management.
Observation:
- A 44-year-old male presented with a six-month history of right scrotal swelling.
- Physical examination revealed an enlarged, firm, and irregular right testis.
- Serological tests for syphilis, including Treponema pallidum hemagglutination assay (TPHA) and rapid plasma reagin (RPR), were positive.
Findings:
- High orchiectomy was performed due to suspicion of testicular tumor.
- Pathological examination showed granulomatous inflammation with lympho-plasmacytic infiltration and endarteritis obliterans.
- The findings were consistent with syphilitic orchitis.
Implications:
- Syphilitic orchitis poses diagnostic challenges, often mimicking other granulomatous testicular diseases like tuberculosis.
- Histopathological analysis with specific stains is essential for accurate diagnosis.
- Increased awareness and diagnostic vigilance are necessary for this rare condition.