PMC7232960_01
Tumor of the epididymis due to disseminated coccidioidomycosis. Color flow doppler testicular ultrasonography revealed the presence of two nodular masses in the tail of the right epididymis with increased vascular Flow.
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C-reactive protein 1 mg/L, alanine aminotransferase 36 UI/L, aspartate aminotransferase 30 UI/L, total bilirubin 0.8 mg/dL and albumin 3.8 g/dL. Color flow doppler testicular ultrasonography was performed and two nodular masses in the tail of the right epididymis with increased vascular flow were found (Figure 1).
Coccidioidal epididymitis in a 48-year-old man. Diffuse epididimitis with multiple granulomas observed in light microscopy and at low magnification (5 x) (A), at high magnification (B), several fungal structures with a round shape, double wall, and smaller oval structures inside (endospores) can be observed along with giant multinucleated cells. PAS (C) and Gromori-Grocott (D) (40 x) staining highlighting the spherules and endospores. In oil inmersion (C1, 100 x) the endospores can be individually distinguished.
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An epididymectomy was performed and histologic examination revealed a granulomatous epididymitis with scattered coccidioidal spherules present within the granulomas (Figure 2).