Infectious etiologies of genital elephantiasis outside of filariasis endemic regions: a case report

Autor: Youssef Kharbach, Zakaria Bakali Issaoui, Youssef Retal, Abdelhak Khallouk
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: African Journal of Urology, Vol 26, Iss 1, Pp 1-3 (2020)
Druh dokumentu: article
ISSN: 1110-5704
1961-9987
DOI: 10.1186/s12301-020-00045-6
Popis: Abstract Background Isolated genital elephantiasis outside filariasis endemic tropical and subtropical regions is rare and presents a diagnostic and therapeutic challenge. Serologic and radiographic investigation must be undertaken to exclude reversible causes of genital elephantiasis. Case presentation Authors report herein the case of a 58-year-old patient with chronic penile and scrotal elephantiasis. He had a history of untreated urethritis and an endoscopic urethrotomy for urethra stricture three years ago. Serological test for chlamydiosis was positive. Retrograde urethrocystography demonstrated a bulbar urethra stricture. The patient spectacularly and completely improved after endoscopic urethrotomy and long-term doxycycline. Conclusions Early treatment of sexual transmitted infections such as chlamydiosis is important to prevent the evolution of penoscrotal elephantiasis and to avoid surgical procedures.
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