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Chirurgia 2011 December;24(6):337-9

language: English

Blastomycosis of the prostate and epididymis: case report and review of the literature

Busato W. F. S. Jr, Almeida G. L., Dos Santos J. V. Q. V., Gonçalves J. R. R.

Department of Urology, University of Itajai Valley (UNIVALI), Itajaí, Brazil


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We report the case of blastomycosis presenting as epididymitis and prostatitis. The diagnosis was suggested by biopsy in a man with LUTS and confirmed by culture. Special staining was used to identify Paracoccidioides brasiliensis in prostate tissue. Despite the treatment the patient died. The South American blastomycosis is caused by Paracoccidioides brasiliensis. Although the pulmonary exposure is more frequent, the urinary tract involvement has been described in 45% of cases, being the prostatic site involved in 1.5%. Prostatic symptoms could be the first manifestations of the disease.

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