Hard bilateral syphilitic testes with vasculitis: a case report and literature review

被引：4

作者：

Nepal, Sat Prasad ^{[1
]}

Nakasato, Takehiko ^{[1
]}

Fukagai, Takashi ^{[1
]}

Shichijo, Takeshi ^{[1
]}

Morita, Jun ^{[1
]}

Maeda, Yoshiko ^{[1
]}

Oshinomi, Kazuhiko ^{[1
]}

Nakagami, Yoshihiro ^{[1
]}

Unoki, Tsutomu ^{[1
]}

Noguchi, Tetsuo ^{[1
]}

Inoue, Tatsuki ^{[1
]}

Kato, Ryosuke ^{[1
]}

Amano, Satoshi ^{[1
]}

Mizunuma, Moyuru ^{[1
]}

Kurokawa, Masahiro ^{[1
]}

Tsunokawa, Yoshiki ^{[1
]}

Yasuda, Sou ^{[1
]}

Ogawa, Yoshio ^{[1
]}

机构：

[1] Showa Univ, Sch Med, Dept Urol, Shinagawa Ku, 1-5-8 Hatanodai, Tokyo 1428555, Japan

来源：

BMC UROLOGY | 2021年 / 21卷 / 01期

关键词：

Gumma; Testis; Syphilis; Vasculitis; Aortitis; Hard; Induration; TREPONEMA-PALLIDUM; ORCHITIS; GUMMA;

D O I：

10.1186/s12894-021-00886-5

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：7

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