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Candidal epididymo-orchitis: case report and review
G A Jenkin1, M Choo, P Hosking
1Infectious Diseases Service, Austin & Repatriation Medical Centre, Heidelberg, Victoria, Australia.
Summary
Candidal epididymo-orchitis, a rare fungal infection, often affects patients with urinary tract instrumentation risk factors. While antifungals can be effective, surgical intervention may be necessary for diagnosis and treatment.
Area of Science:
- Urology
- Infectious Diseases
- Mycology
Background:
- Epididymo-orchitis is an inflammation of the epididymis and testis.
- Fungal infections, particularly Candida species, can cause epididymo-orchitis, though less common than bacterial causes.
- Risk factors include urinary tract instrumentation and immunosuppression.
Observation:
- A case of epididymo-orchitis with candiduria and epididymal abscesses caused by Candida albicans is presented.
- Six previously reported cases of candidal epididymo-orchitis were reviewed.
- Both Candida albicans and Candida glabrata have been implicated in these infections.
Findings:
- Candidal epididymo-orchitis typically occurs in patients with predisposing factors for fungal infections.
- Urinary tract instrumentation is a common preceding event.
- Histologically proven epididymal abscesses necessitate consideration of surgical intervention.
Implications:
- Early recognition and diagnosis of candidal epididymo-orchitis are crucial.
- Treatment may involve a combination of antifungal therapy and surgical drainage or orchidectomy.
- Further research into optimal management strategies for fungal epididymo-orchitis is warranted.