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E. A. Petersen, B. A. Friedman, E. D. Crowder and D. Rifkind, “Coccidoidouria: Clinical Significance,” Ann Internal Medicine, Vol. 85, No. 1, 1976, pp. 34-38. doi:10.7326/0003-4819-85-1-34

has been cited by the following article:

• TITLE: Coccidioidomycosis of the Testis and Epididymis

  AUTHORS: Dane E. Klett, Y. Mark Hong

  KEYWORDS: Coccidioidomycosis; Testicular Mass; Epididymitis; Orchitis; Valley Fever

  JOURNAL NAME: Open Journal of Urology, Vol.3 No.2, May 17, 2013

  ABSTRACT: This report describes an unusual presentation of a man with a testicular mass who presented in diabetic ketoacidosis to the emergency department. Initial diagnosis was a suspected testicular malignancy based on history, physical exam, and available laboratory and radiological imaging. Due to the possibility of a testicular malignancy, the patient was taken for immediate orchiectomy. Histology revealed coccidioido-mycosis of the left testicle and epididymis. Treatment with the appropriate antifungals was initiated. Despite aggressive multi-disciplinary therapy the patient continued to deteriorate and eventually expired as a result of the massive systemic infection. Literature review revealed the presentation of disseminated genitourinary coccidioidomycosis is rare and seldom reported.