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Thisreport describes an unusual presentation of a man with a testicular mass whopresented in diabetic ketoacidosis to the emergency department. Initialdiagnosis was a suspected testicular malignancy based on history, physicalexam, and available laboratory and radiological imaging. Due to the possibilityof a testicular malignancy, the patient was taken for immediate orchiectomy.Histology revealed coccidioido-mycosis of the left testicle and epididymis.Treatment with the appropriate antifungals was initiated. Despite aggressivemulti-disciplinary therapy the patient continued to deteriorate and eventuallyexpired as a result of the massive systemic infection. Literature reviewrevealed the presentation of disseminated genitourinary coccidioidomycosis is rareand seldom reported.


Coccidioidomycosis; Testicular Mass; Epididymitis; Orchitis; Valley Fever

Cite this paper

D. Klett and Y. Hong -Coccidioidomycosis of the Testis and Epididymis,- Open Journal of Urology, Vol. 3 No. 2, 2013, pp. 87-89. doi: 10.4236-oju.2013.32017.

Autor: Dane E. Klett, Y. Mark Hong



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