Testicular mass: do not forget filariasis

Ho, Chee Kong Christopher; Ideris, N.

doi:10.1007/s15010-013-0443-x

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…Herein, we present the first case of anaphylaxis and scrotal localization in paediatric age. In literature, we found only few cases of scrotal infestation by filariae, mimicking a testicular tumour 5 …”

Section: Figurementioning

confidence: 95%

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Acute scrotum in a 8‐year‐old Italian child caused by extraintestinal anisakiasis in a seaside area

Centonze¹,

Capillo²,

Mazzei³

et al. 2021

Allergy

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We read with a great deal of interest the recently published article by Morishima L et al. 1 The Authors report an high incidence of anisakis-specific IgE antibodies in patients with anaphylaxis in two towns in Japan. Worldwide, the incidence of anisakis patients is related to the ingestion of raw fish in seaside places.Herein, we present the case of a child who has experienced an anaphylaxis with acute respiratory symptoms and a strange scrotal mass, in Calabria, a region completely surrounded by the sea in Southern Italy.An 8-year-old child Italian child referred to our Emergency Department with a clinical complaint characterized by acute respiratory distress and right testicular pain since almost 24 h, that worsened during the day. The respiratory picture resolved almost immediately with the use of corticosteroids via intravenous. The clinical examination showed the presence of a painful testicleindependent swelling of about 1 cm in diameter, between the perineal plane and the scrotum, in the absence of signs of inflammation. CORRESPONDENCEAn extraintestinal anisakiasis is anecdotal, and to our best knowledge, only two cases have been reported in the literature. [2][3][4] Herein, we present the first case of anaphylaxis and scrotal localization in paediatric age. In literature, we found only few cases of scrotal infestation by filariae, mimicking a testicular tumour. 5 This child lives in Calabria, a Region in the South of Italy, in a normal Italian socio-economic and hygienic conditions context. He has not travelled in the past 2 years and he never has intaken raw fish or he has gone to a sushi restaurant. There were no similar cases in school or in the remaining family members.Whether the entrance door of the anisakis remains a mystery, a possible theory on the aetiopathogenesis of this case could be related to the persistence of a patent vaginal peritoneum duct, with the migration of worms from the intestinal wall to the scrotum. However, the child had no signs of hydrocele or inguinal swelling.

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Section: Figurementioning

confidence: 95%

“…In literature, we found only few cases of scrotal infestation by filariae, mimicking a testicular tumour. 5 This child lives in Calabria, a Region in the South of Italy, in a normal Italian socio-economic and hygienic conditions context. He has not travelled in the past 2 years and he never has intaken raw fish or he has gone to a sushi restaurant.…”

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confidence: 99%

Acute scrotum in a 8‐year‐old Italian child caused by extraintestinal anisakiasis in a seaside area

Centonze¹,

Capillo²,

Mazzei³

et al. 2021

Allergy

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“…The rarity of scrotal TB has limited clinicians' awareness of TB involving this anatomic site, which may in turn lead to failure to make a timely diagnosis of scrotal TB in a patient with a swollen scrotum. Scrotal TB can be medically cured [4].…”

Section: World Journal Of Current Medical and Pharmaceutical Researchmentioning

confidence: 99%

Unilateral epididymo-orhitis tuberculosis mimicking tumor of the scrotum: a case report

Sugiarto,

Purnomo

2023

World Journal of Current Med and Pharm Research

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Introduction: Tuberculosis (TB) is a global disease that can lead to morbidity and mortality if not adequately treated. Globally in 2019, an estimated 10.0 million (range 8.9-11.0 million) people fell ill with TB, and 15% and 40% of them present with extrapulmonary TB (EPTB), of which a considerable proportion have urogenital TB (UGTB). We present a case of unilateral epididymo-orchitis tuberculosis mimicking malignant tumor of the scrotal. Purpose: To increase awareness of diagnosing scrotal tuberculosis, since it is infrequent and has some symptoms similar to malignant scrotal tumor. It is also to suggest the treatment after diagnosing scrotal tuberculosis. Case report: A 38-year-old male presented to the Surgical Clinic of Lewoleba Regional General Hospital with a painful swelling of the right testis 6 months before admission to the hospital. This enlargement was progressive, getting bigger over time. The palpation of the right testicle is hard, and immobile, with a well-defined margin. He complained of a recurrent fever for the 6 months of his illness. He experienced a dry cough for several months. He experienced a weight loss of 10 kg in 6 months of the illness. No history of TB before. Discussion: UGTB is defined as the infection of the urinary tract or genitalia most commonly caused by Mycobacterium tuberculosis (MTB). One kind of UGTB is at the scrotal area. After primary Mtb infection at any organ site, direct hematogenous or lymphatic spread from primary Mtb lesions leads to Mtb seeding into various parts of the urogenital tract. Conclusion: The presentation of scrotal tuberculosis is often vague and a high degree of awareness is needed to make the diagnosis. Patients with scrotal tuberculosis must be well-diagnosed to treat it properly. The histopathological examination is very important to eliminate the differential diagnosis of scrotal tumors.

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“…In literature we found only few cases of scrotal infestation by filariae, mimicking a testicular tumor. (5) This child lives in Calabria, a Region in the South of Italy, in a normal italian socio-economic and hygienic conditions context. He hasn't traveled in the past two years and he never has intaken raw fish or he has gone to a sushi restaurant.…”

Section: (Fig1)mentioning

confidence: 99%

Acute scrotum in a 8-year-old italian child caused by extraintestinal anisakiasis in a seaside area.

Centonze

Capillo

Mazzei

et al. 2020

Preprint

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Testicular mass: do not forget filariasis

Cited by 6 publications

References 14 publications

Acute scrotum in a 8‐year‐old Italian child caused by extraintestinal anisakiasis in a seaside area

Acute scrotum in a 8‐year‐old Italian child caused by extraintestinal anisakiasis in a seaside area

Unilateral epididymo-orhitis tuberculosis mimicking tumor of the scrotum: a case report

Acute scrotum in a 8-year-old italian child caused by extraintestinal anisakiasis in a seaside area.

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