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Bilateral Epididymal Candida abscesses:Sonographic findings and sonographically guided fine‐needle aspiration
Author(s) -
Seçil Mustafa,
Yiğit Göktay Ahmet,
Dicle Oğuzz,
Yörükoğlu Kutsal
Publication year - 1998
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(199810)26:8<413::aid-jcu8>3.0.co;2-l
Subject(s) - medicine , urinary system , abscess , orchiectomy , systemic candidiasis , surgery , epididymitis , epididymis , candida albicans , biopsy , radiology , antifungal , corpus albicans , dermatology , biology , sperm , andrology , genetics
We report the case of a 67‐year‐old diabetic man who presented 2 months after transurethral prostate surgery with impaired consciousness, urinary incontinence, and recurrent urinary tract infections that did not respond to antibiotic treatment. Sonographic findings suggested abscess formation (enlarged, heterogeneous epididymides and a central hypoechoic area in the head of the left epididymis). Aspirates obtained from sonographically guided needle biopsy were purulent. Staining showed budding yeast forms, and Candida albicans grew in culture. Systemic candidiasis was diagnosed. The patient underwent bilateral epididymo‐orchiectomy, and pathologic analysis of resected specimens showed bilateral epididymal necrosis and disseminated abscess formation. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:413–415, 1998.