Coccidioidomycosis of the Genitourinary Tract: A Case Report and Discussion

Satyanarayan, Arthi; Klotz, Stephen A.; Han, Lucy; Sobonya, Richard E.; Zangeneh, Tirdad T.

doi:10.1016/j.urology.2014.08.005

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Urinalysis covering Coccidioides is warranted as a first step; any patient with suspected or confirmed prostatic coccidioidomycosis should undergo a full work up and be referred to an infectious disease specialist 9 . Biopsy of the prostate may ultimately be the only method of diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…Amphotericin B is recommended for rapidly progressing disease 7 . In the limited number of reported cases, both amphotericin and azole-treated patients have been shown to be able to make successful recoveries, though the period of treatment required to drop their antibody titers to within normal limits has varied from days to more than a year 5, 9…”

Section: Resultsmentioning

confidence: 99%

“…Coccidioides does not stain on Gram stain 7 . As urine culture may reflect involvement of another structure in the urinary tract, definitive diagnosis of prostate involvement can be made only with biopsy and pathology showing double walled coccidioidal spherules 9 . There are case reports of prostatic disease being discovered only after TURP and tissue pathology; in these instances it has been recommended to assume that disease has been seeded throughout the body.…”

Section: Discussionmentioning

confidence: 99%

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Rare Dysuria: Prostatic Abscess due to Disseminated Coccidioidomycosis

Pirsaraei

Tabsh

Lentz

2016

Urology Case Reports

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We present a case of disseminated coccidioidomycosis with formation of a prostatic abscess in a 28-year-old diabetic male. Though rare, Coccidiodes prostatitis should be included in the differential for patients who have spent time in endemic areas and present with prostatitis or other genitourinary tract symptoms, especially in the setting of immunocompromise. The small number of Coccidiodes prostatitis cases described in the literature previously are reviewed, along with a wider discussion of coccidioidomycosis. Treatment modalities for this challenging fungal disease are also discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Rare Dysuria: Prostatic Abscess due to Disseminated Coccidioidomycosis

Pirsaraei

Tabsh

Lentz

2016

Urology Case Reports

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“…The patient in our case showed no signs of systemic disease. Other cases have been reported where patients have localized extra pulmonary CM without systemic disease [ 9 – 11 ]. It is probable that the patient had a primary lung infection while living in the USA that was either asymptomatic or that she could not recall.…”

Section: Discussionmentioning

confidence: 99%

Peritoneal and genital coccidioidomycosis in an otherwise healthy Danish female: a case report

et al. 2017

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BackgroundCoccidioidomycosis is a fungal infection that usually presents as a primary lung infection. The fungus is endemic to the Southwest United States of America, northern Mexico and parts of Central and South America the infection is rare outside these areas. However, some patients develop disseminated infection that can lie dormant for several years and can present itself in travelers. We report the first case of extra pulmonary Coccidioidomycosis in a non-immunocompromised individual in Denmark.Case presentationA 32 year old Danish woman presented at the Emergency department with abdominal pain. Computed tomography scan and ultrasound examination of the pelvis raised suspicion of salpingitis. A laparoscopy exposed a necrotic salpinx and several small white elements that resembled peritoneal carcinomatosis. Histological workup however determined that she suffered from disseminated coccidioidomycosis. The patient had lived 2 years in Las Vegas, in the United States of America, 7 years prior and had no memory of lung infection at the time.ConclusionsDisseminated coccidioidomycosis is rare in non-immunocompromised individuals. The patient in this case underwent several rounds of in vitro fertilization treatment in the years before admittance. We suspect that the hormonal treatment in combination with low-dose prednisolone may have triggered reemergence of the disease and present literature that support this.

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Genitourinary Infectious Disease Pathology

Farris¹,

Nielsen²

2018

Diagnostic Pathology of Infectious Disease

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Coccidioidomycosis of the Genitourinary Tract: A Case Report and Discussion

Cited by 5 publications

References 6 publications

Rare Dysuria: Prostatic Abscess due to Disseminated Coccidioidomycosis

Rare Dysuria: Prostatic Abscess due to Disseminated Coccidioidomycosis

Peritoneal and genital coccidioidomycosis in an otherwise healthy Danish female: a case report

Genitourinary Infectious Disease Pathology

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