Tumor of the epididymis: an uncommon presentation of disseminated coccidioidomycosis

Autores

  • Raúl Alberto Jiménez‑Castillo Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna https://orcid.org/0000-0002-8331-6291 (não autenticado)
  • Ricardo Andrés Gómez‑Quiroz Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna
  • Edgar Francisco Carrizales‑Sepúlveda Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna
  • Max Molina‑Ayala Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Anatomía Patológica y Citopatología, Monterrey
  • Raquel Garza‑Guajardo Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Anatomía Patológica y Citopatología
  • Ricardo Mendoza‑Coronado Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna
  • Javier Alejandro Martínez‑Moyano Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna
  • Homero Náñez‑Terreros Universidad Autonoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario “Dr. Jose Eleuterio Gonzalez”, Departamento de Medicina Interna

DOI:

https://doi.org/10.1590/S1678-9946202062024

Palavras-chave:

Epididymis, Mass, Disseminated coccidioidomycosis, Adults

Resumo

Coccidioidomycosis is an endemic disease of arid regions in the Western hemisphere. Its clinical presentation varies from asymptomatic nodules on chest x-rays to disseminated disease. We present the case of a 48-year-old man with a hard and heterogeneous tumor in the posterior aspect of the right testis. Color flow doppler testicular ultrasonography was performed and two nodular masses in the tail of the right epididymis were identified. An epididymectomy was performed and histopathological examination revealed coccidioidomycosis. After diagnosis, the patient was successfully treated with fluconazol.

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Publicado

2020-05-08

Edição

v. 62 (2020)

Seção

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Como Citar

Jiménez‑Castillo, R. A., Gómez‑Quiroz, R. A., Carrizales‑Sepúlveda, E. F., Molina‑Ayala, M., Garza‑Guajardo, R., Mendoza‑Coronado, R., Martínez‑Moyano, J. A., & Náñez‑Terreros, H. (2020). Tumor of the epididymis: an uncommon presentation of disseminated coccidioidomycosis. Revista Do Instituto De Medicina Tropical De São Paulo, 62, e24. https://doi.org/10.1590/S1678-9946202062024