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Testicular mass: do not forget filariasis

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Abstract

Parasite infestation of the testicular tunica and spermatic cord by filariae are rarely reported and may present with few clinical signs, depending upon the stage. Occasionally, it may mimic a testicular tumor. We present a case of a 29-year-old man who presented with left testicular swelling and discomfort for 4 months. Clinical examination and imaging suggested an intrascrotal cystic lesion with a normal left testis. However, the intraoperative findings revealed a tumor-like mass; hence, a left orchidectomy was performed. However, histopathology reported a diagnosis of a cystic testicular tunica and spermatic cord with parasite infection. Here, we review the literature of scrotal and testicular parasite disease and discuss the course of the appropriate management involved.

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  1. Division of Urology, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000, Kuala Lumpur, Malaysia

    C. C. K. Ho & N. Ideris

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  1. C. C. K. Ho
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  2. N. Ideris
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Correspondence to C. C. K. Ho.

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Ho, C.C.K., Ideris, N. Testicular mass: do not forget filariasis. Infection 41, 893–896 (2013). https://doi.org/10.1007/s15010-013-0443-x

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