Wittmann Tyler A, Waldoch Brendan T, Davis Carley M
Department of Urology, Medical College of Wisconsin, Milwaukee, WI, USA.
Urol Case Rep. 2023 Jun 29;50:102489. doi: 10.1016/j.eucr.2023.102489. eCollection 2023 Sep.
A 25 year old male presented with several weeks of fevers and testicular pain. Workup demonstrated scrotal and prostatic abscesses. Fluid from these following surgical drainage revealed Blastomyces dermatitidis. He was treated with 12 months of oral anti-fungal therapy and repeat Blastomyces urine antigen was negative at follow up. While disseminated blastomycosis most commonly presents with pulmonary and cutaneous manifestations, genitourinary symptoms are rarely seen, but important to consider.
一名25岁男性出现数周发热和睾丸疼痛。检查发现阴囊和前列腺脓肿。手术引流后这些部位的液体显示出皮炎芽生菌。他接受了12个月的口服抗真菌治疗，随访时重复检测的芽生菌尿抗原为阴性。虽然播散性芽生菌病最常见的表现是肺部和皮肤症状，但泌尿生殖系统症状很少见，但仍需考虑。
