Conner W T, Drach G W, Bucher W C
J Urol. 1975 Jan;113(1):82-8. doi: 10.1016/s0022-5347(17)59414-8.
Genitourinary involvement is common in disseminated coccidioidomycosis. Urologic evaluation should include careful examination, cultures and radiograms. The radiographic features of renal coccidioidomycosis parallel those of renal tuberculosis, with feathery, moth-eaten calices, infundibular constriction and caliceal ballooning, and eventual calcification of granulomas. Coccidioidal epididymitis may be chronic, with long asymptomatic intervals. A patient with a 15-year interval between episodes of right and left coccidioidal epipidymitis is described. Complement fixation titers should be used to determine the activity of genitourinary coccidioidomycosis. In 3 of 12 patients dissemination of coccidioidomycosis occurred during treatment with immunosuppressive medications. Renal transplant patients should be evaluated for active coccidioidomycosis prior to transplantation.
泌尿生殖系统受累在播散性球孢子菌病中很常见。泌尿外科评估应包括仔细检查、培养和X光片检查。肾球孢子菌病的影像学特征与肾结核相似，表现为羽毛状、虫蚀样肾盏、漏斗部狭窄和肾盏膨出，以及肉芽肿最终钙化。球孢子菌性附睾炎可能是慢性的，有较长的无症状期。本文描述了一名左右侧球孢子菌性附睾炎发作间隔15年的患者。应使用补体结合试验滴度来确定泌尿生殖系统球孢子菌病的活动情况。12例患者中有3例在接受免疫抑制药物治疗期间发生了球孢子菌病播散。肾移植患者在移植前应评估是否患有活动性球孢子菌病。
