Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges

Disseminated blastomycosis is an endemic fungal infection that rarely manifests with genitourinary involvement. We present a unique case of a 28-year-old professional male gamer with a remote history of hemoptysis and cervical lymphadenopathy who presented with hematospermia, lower urinary tract sym...

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Main Authors: Emily Hillman, Hangcheng Fu, Randa Obid, Uzoma A. Anele
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2023/4713948
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author Emily Hillman
Hangcheng Fu
Randa Obid
Uzoma A. Anele
author_facet Emily Hillman
Hangcheng Fu
Randa Obid
Uzoma A. Anele
author_sort Emily Hillman
collection DOAJ
description Disseminated blastomycosis is an endemic fungal infection that rarely manifests with genitourinary involvement. We present a unique case of a 28-year-old professional male gamer with a remote history of hemoptysis and cervical lymphadenopathy who presented with hematospermia, lower urinary tract symptoms (LUTS), and persistent groin abscesses after left orchiectomy at an outside hospital. He underwent drainage of groin abscess and prostate biopsy for an abnormal digital rectal exam which revealed disseminated blastomycosis requiring systemic, long-term antifungal treatment. We have also included a review of literature to note clinical patterns in presentations and highlight the diagnostic challenges that this infection presents.
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spelling doaj-art-2c0155b955b94a3ca08bb55c8f1ffe082025-08-20T02:24:07ZengWileyCase Reports in Infectious Diseases2090-66332023-01-01202310.1155/2023/4713948Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic ChallengesEmily Hillman0Hangcheng Fu1Randa Obid2Uzoma A. Anele3Department of UrologyDepartment of UrologyDepartment of PathologyDepartment of UrologyDisseminated blastomycosis is an endemic fungal infection that rarely manifests with genitourinary involvement. We present a unique case of a 28-year-old professional male gamer with a remote history of hemoptysis and cervical lymphadenopathy who presented with hematospermia, lower urinary tract symptoms (LUTS), and persistent groin abscesses after left orchiectomy at an outside hospital. He underwent drainage of groin abscess and prostate biopsy for an abnormal digital rectal exam which revealed disseminated blastomycosis requiring systemic, long-term antifungal treatment. We have also included a review of literature to note clinical patterns in presentations and highlight the diagnostic challenges that this infection presents.http://dx.doi.org/10.1155/2023/4713948
spellingShingle Emily Hillman
Hangcheng Fu
Randa Obid
Uzoma A. Anele
Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
Case Reports in Infectious Diseases
title Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
title_full Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
title_fullStr Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
title_full_unstemmed Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
title_short Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges
title_sort genitourinary blastomycosis in a young male patient a case report and review of diagnostic challenges
url http://dx.doi.org/10.1155/2023/4713948
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AT randaobid genitourinaryblastomycosisinayoungmalepatientacasereportandreviewofdiagnosticchallenges
AT uzomaaanele genitourinaryblastomycosisinayoungmalepatientacasereportandreviewofdiagnosticchallenges