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UROPATHOLOGY
Year : 2012  |  Volume : 28  |  Issue : 3  |  Page : 359-361

Genitourinary histoplasmosis in post-renal transplant patient: Diagnostic dilemma


1 Department of Urology, Kasturba Medical College, Manipal, Karnataka, India
2 Department of Microbiology, Kasturba Medical College, Manipal, Karnataka, India

Correspondence Address:
Arun Chawla
Division of Urology, Kasturba Medical College, Manipal - 576 104, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.102730

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Genitourinary histoplasmosis is very rare and to our knowledge only four cases of epididymal histoplasmosis and nine cases of prostatic histoplasmosis have been reported in literature. We hereby report a case of a middle-aged male, who presented three years after renal transplant, with complaints of fever, pain, and swelling in the scrotum. Imaging disclosed an enlarged right epididymis with prostatic and retrotrigonal abscess, suggesting tuberculosis infection. However, histopathology of the epididymal biopsy revealed histoplasmosis, and the drained pus on culture confirmed infection with Histoplasma capsulatum.


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