Hard bilateral syphilitic testes with vasculitis: a case report and literature review
| Autor: | Sou Yasuda, Jun Morita, Satoshi Amano, Yoshihiro Nakagami, Masahiro Kurokawa, Tatsuki Inoue, Yoshio Ogawa, Yoshiko Maeda, Ryosuke Kato, Moyuru Mizunuma, Kazuhiko Oshinomi, Tetsuo Noguchi, Takashi Fukagai, Tsutomu Unoki, Takeshi Shichijo, Takehiko Nakasato, Sat Prasad Nepal, Yoshiki Tsunokawa |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Vasculitis medicine.medical_specialty endocrine system Prednisolone Urology Anti-Inflammatory Agents Gumma Case Report Orchitis Palpation Diagnosis Differential Fatal Outcome Testicular Neoplasms Testis medicine Edema Humans Syphilis Aortitis Ultrasonography Hard medicine.diagnostic_test business.industry Angiography General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Dermatology Diseases of the genitourinary system. Urology Anti-Bacterial Agents Pneumonia Reproductive Medicine Testicular Involvement Ampicillin Induration RC870-923 Tomography X-Ray Computed business Orbit Adrenal Insufficiency medicine.drug |
| Zdroj: | BMC Urology, Vol 21, Iss 1, Pp 1-7 (2021) BMC Urology |
| ISSN: | 1471-2490 |
| Popis: | Background We report the case of a patient with syphilitic testicular gumma and vasculitis with adrenal failure due to chronic steroid use. Case presentation A 63-year-old male presented with hard right eye swelling and very firm bilateral testes on palpation, which he had for 2 years. Testicular tumor markers were negative; syphilis test was positive. Radiological examination suggested aortitis and bilateral testicular malignancy. The patient received ampicillin for the infection and prednisolone for vasculitis. Left orchidectomy was performed to confirm the presence of testicular tumor; histological examinations revealed granulomatous orchitis. The prednisolone doses were adjusted because of relapses and adverse effects of steroid use. Unfortunately, the patient died in the intensive care unit because of uncontrolled blood pressure and pneumonia. Conclusions This is a rare case of syphilis with testicular involvement and vasculitis. This report shows the importance of broadening the differential diagnoses of testicular firmness. |
| Databáze: | OpenAIRE |
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