Jenkin G A, Choo M, Hosking P, Johnson P D
Infectious Diseases Service, Austin & Repatriation Medical Centre, Heidelberg, Victoria, Australia.
Clin Infect Dis. 1998 Apr;26(4):942-5. doi: 10.1086/513937.
We describe a case of epididymo-orchitis with candiduria and histologically proven epididymal abscesses due to Candida albicans and review six previously reported cases. Candidal epididymo-orchitis occurs in patients with recognized risk factors for candidal infection, often after instrumentation of the urinary tract. Cases caused by both C. albicans and Candida glabatra have been described. Drainage or orchidectomy may be required for definitive diagnosis and treatment. Treatment with oral antifungals alone has been effective in two cases.
我们描述了一例伴有念珠菌尿症的附睾炎-睾丸炎病例，其组织学证实为白色念珠菌所致的附睾脓肿，并回顾了此前报道的6例病例。念珠菌性附睾炎-睾丸炎发生于有公认念珠菌感染风险因素的患者，通常在尿路器械操作后。由白色念珠菌和光滑念珠菌引起的病例均有描述。为明确诊断和治疗可能需要进行引流或睾丸切除术。仅口服抗真菌药物治疗在两例病例中已显效。
