Artigo Acesso aberto Produção Nacional Revisado por pares

Testicular schistosomiasis caused by Schistosoma mansoni: a case report from Brazil

2007; Elsevier BV; Volume: 11; Issue: 5 Linguagem: Inglês

10.1590/s1413-86702007000500015

ISSN

1678-4391

Autores

Roberto Iglesias Lopes, Kátia Ramos Moreira Leite, Décio Prando, Roberto Nicomedes Lopes,

Tópico(s)

Helminth infection and control

Resumo

Testicular schistosomiasis by Schistosoma mansoni is exceedingly rare, with only 11 cases reported in PubMed. We report a new case from Brazil. A 31-year-old man from the northeast region of the country presented with a 2 cm nodule in the right testis. Ultrasonography showed a well-delimited hypoechoic tumor, suggestive of a granulomatous lesion. Magnetic resonance imaging revealed an irregular tunica albuginea signal. A biopsy showed interstitial tissue with schistosome ova and granuloma formation. The nodule was excised, and the patient was treated with oxamniquine. He has remained symptom free for 10 years. A testicular nodule should raise suspicion of numerous pathologies, including schistosomiasis. Treatment should include therapy with oxamniquine or praziquantel, and nodule excision should be done whenever possible.

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