Coccidioidomycosis mimicking testicular cancer: A case report

Abstract

We present the case of a 48 year‐old man with a history of pulmonary tuberculosis who was brought to our centre with a progressively increasing left testicular mass. Radiological findings were not conclusive on whether the mass was neoplastic or infectious in nature. Therefore, an orchiectomy was performed. Pathology examination revealed coccidioidomycosis of the left testicle, highlighting an exceedingly rare presentation of disseminated genitourinary coccidioidomycosis.

Current Landscape of Coccidioidomycosis

“…In immunocompromised or otherwise healthy but genetically predisposed patients, CM can present as disseminated disease [26,44]. Recently published cases with atypical presentations provided evidence of further diagnostic complications, and this included initial mimicry for testicular cancer [45], rare aortic infection [46], polyarticular septic arthritis [47], CM of the vocal cords [48], and septic shock with multiorgan failure [49]. A study by Pu et al [50] assessed delayed CM diagnosis and utilized CM cases over three years within a large Arizona health care system.…”