Wegener granulomatosis presenting as epididymitis.
Isolated epididymitis is a very rare presentation of Wegener granulomatosis (WG). Only 1 such case has been previously reported. We report a case of epididymitis in which WG was not suspected clinically or pathologically at orchiectomy, and the patient subsequently developed pulmonary involvement with WG. WG was ultimately diagnosed and treated after lung biopsy several months after the orchiectomy. The retrospective pathologic review of the orchiectomy specimen confirmed the presence of WG in the epididymis; the testicular tissue was not involved.
Department of Infectious Disease, University of Southern California Keck School of Medicine, Los Angeles County, CA 90033, USA. chrismil66@hotmail.com
D Chris
DC
Miller
Michael N
MN
Koss
D004823:Epididymitis / Q000209:etiology*; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged