Rare Dysuria: Prostatic Abscess due to Disseminated Coccidioidomycosis

We present a case of disseminated coccidioidomycosis with formation of a prostatic abscess in a 28-year-old diabetic male. Though rare, Coccidiodes prostatitis should be included in the differential for patients who have spent time in endemic areas and present with prostatitis or other genitourinary tract symptoms, especially in the setting of immunocompromise. The small number of Coccidiodes prostatitis cases described in the literature previously are reviewed, along with a wider discussion of coccidioidomycosis. Treatment modalities for this challenging fungal disease are also discussed.

Urology case reports. 2016 Aug 27*** epublish ***

Pedram Ansari Pirsaraei, Kareem Tabsh, Jacob Lentz

Kern Medical Center, 1700 Mt Vernon Ave, Bakersfield, CA 93306, USA., UCLA Medical Center, 757 Westwood Blvd, Los Angeles, CA 90095, USA.