Hard bilateral syphilitic testes with vasculitis: a case report and literature review
Abstract 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. Test...
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| Format: | Article |
| Language: | English |
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BMC
2021-09-01
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| Series: | BMC Urology |
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| Online Access: | https://doi.org/10.1186/s12894-021-00886-5 |
| _version_ | 1818609234780094464 |
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| author | Sat Prasad Nepal Takehiko Nakasato Takashi Fukagai Takeshi Shichijo Jun Morita Yoshiko Maeda Kazuhiko Oshinomi Yoshihiro Nakagami Tsutomu Unoki Tetsuo Noguchi Tatsuki Inoue Ryosuke Kato Satoshi Amano Moyuru Mizunuma Masahiro Kurokawa Yoshiki Tsunokawa Sou Yasuda Yoshio Ogawa |
| author_facet | Sat Prasad Nepal Takehiko Nakasato Takashi Fukagai Takeshi Shichijo Jun Morita Yoshiko Maeda Kazuhiko Oshinomi Yoshihiro Nakagami Tsutomu Unoki Tetsuo Noguchi Tatsuki Inoue Ryosuke Kato Satoshi Amano Moyuru Mizunuma Masahiro Kurokawa Yoshiki Tsunokawa Sou Yasuda Yoshio Ogawa |
| author_sort | Sat Prasad Nepal |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-16T14:55:18Z |
| format | Article |
| id | doaj.art-115eaeecc7754d4aa6accc6e67cf46fb |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-16T14:55:18Z |
| publishDate | 2021-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-115eaeecc7754d4aa6accc6e67cf46fb2022-12-21T22:27:27ZengBMCBMC Urology1471-24902021-09-012111710.1186/s12894-021-00886-5Hard bilateral syphilitic testes with vasculitis: a case report and literature reviewSat Prasad Nepal0Takehiko Nakasato1Takashi Fukagai2Takeshi Shichijo3Jun Morita4Yoshiko Maeda5Kazuhiko Oshinomi6Yoshihiro Nakagami7Tsutomu Unoki8Tetsuo Noguchi9Tatsuki Inoue10Ryosuke Kato11Satoshi Amano12Moyuru Mizunuma13Masahiro Kurokawa14Yoshiki Tsunokawa15Sou Yasuda16Yoshio Ogawa17Department of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineDepartment of Urology, Showa University School of MedicineAbstract 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.https://doi.org/10.1186/s12894-021-00886-5GummaTestisSyphilisVasculitisAortitisHard |
| spellingShingle | Sat Prasad Nepal Takehiko Nakasato Takashi Fukagai Takeshi Shichijo Jun Morita Yoshiko Maeda Kazuhiko Oshinomi Yoshihiro Nakagami Tsutomu Unoki Tetsuo Noguchi Tatsuki Inoue Ryosuke Kato Satoshi Amano Moyuru Mizunuma Masahiro Kurokawa Yoshiki Tsunokawa Sou Yasuda Yoshio Ogawa Hard bilateral syphilitic testes with vasculitis: a case report and literature review BMC Urology Gumma Testis Syphilis Vasculitis Aortitis Hard |
| title | Hard bilateral syphilitic testes with vasculitis: a case report and literature review |
| title_full | Hard bilateral syphilitic testes with vasculitis: a case report and literature review |
| title_fullStr | Hard bilateral syphilitic testes with vasculitis: a case report and literature review |
| title_full_unstemmed | Hard bilateral syphilitic testes with vasculitis: a case report and literature review |
| title_short | Hard bilateral syphilitic testes with vasculitis: a case report and literature review |
| title_sort | hard bilateral syphilitic testes with vasculitis a case report and literature review |
| topic | Gumma Testis Syphilis Vasculitis Aortitis Hard |
| url | https://doi.org/10.1186/s12894-021-00886-5 |
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