Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges

IF 1 Q4 INFECTIOUS DISEASES Case Reports in Infectious Diseases Pub Date : 2023-12-19 DOI:10.1155/2023/4713948
Emily Hillman, Hangcheng Fu, Randa Obid, U. Anele
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Abstract

Disseminated blastomycosis is an endemic fungal infection that rarely manifests with genitourinary involvement. We present a unique case of a 28-year-old professional male gamer with a remote history of hemoptysis and cervical lymphadenopathy who presented with hematospermia, lower urinary tract symptoms (LUTS), and persistent groin abscesses after left orchiectomy at an outside hospital. He underwent drainage of groin abscess and prostate biopsy for an abnormal digital rectal exam which revealed disseminated blastomycosis requiring systemic, long-term antifungal treatment. We have also included a review of literature to note clinical patterns in presentations and highlight the diagnostic challenges that this infection presents.
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一名年轻男性患者的泌尿生殖系统布氏杆菌病:病例报告和诊断难题回顾
播散性囊霉菌病是一种地方性真菌感染,很少表现为泌尿生殖系统受累。我们介绍了一例独特的病例,患者是一名 28 岁的职业男性游戏玩家,曾有咯血和颈部淋巴结病史,在一家外院接受左侧睾丸切除术后出现血精、下尿路症状(LUTS)和持续性腹股沟脓肿。他接受了腹股沟脓肿引流术,并因数字直肠检查异常而接受了前列腺活检,结果显示他患上了播散性囊霉菌病,需要长期全身抗真菌治疗。我们还对文献进行了回顾,以注意临床表现的模式,并强调这种感染所带来的诊断难题。
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0.00%
发文量
64
审稿时长
13 weeks
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