Infectious etiologies of genital elephantiasis outside of filariasis endemic regions: a case report

Background Isolated genital elephantiasis outside filariasis endemic tropical and subtropical regions is rare and presents a diagnostic and therapeutic challenge. Serologic and radiographic investigation must be undertaken to exclude reversible causes of genital elephantiasis. Case presentation Auth...

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Bibliographic Details
Published in:African journal of urology 2020-12, Vol.26 (1), p.36-3, Article 36
Main Authors: Kharbach, Youssef, Bakali Issaoui, Zakaria, Retal, Youssef, Khallouk, Abdelhak
Format: Article
Language:English
Subjects:
Bladder
Care and treatment
Case Reports
Chlamydia
Chlamydia infections
Congenital diseases
Consent
Development and progression
Diseases
Elephantiasis
Etiology
Filariasis
Imaging
Infections
Infectious diseases
Lymphedema
Medicine
Medicine & Public Health
Patients
Penis
Peritoneal dialysis
Radiology
Scrotum
Serology
Sexually transmitted diseases
STD
Surgery
Testes
Urology
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Summary:Background Isolated genital elephantiasis outside filariasis endemic tropical and subtropical regions is rare and presents a diagnostic and therapeutic challenge. Serologic and radiographic investigation must be undertaken to exclude reversible causes of genital elephantiasis. Case presentation Authors report herein the case of a 58-year-old patient with chronic penile and scrotal elephantiasis. He had a history of untreated urethritis and an endoscopic urethrotomy for urethra stricture three years ago. Serological test for chlamydiosis was positive. Retrograde urethrocystography demonstrated a bulbar urethra stricture. The patient spectacularly and completely improved after endoscopic urethrotomy and long-term doxycycline. Conclusions Early treatment of sexual transmitted infections such as chlamydiosis is important to prevent the evolution of penoscrotal elephantiasis and to avoid surgical procedures.
ISSN:1110-5704
1961-9987
DOI:10.1186/s12301-020-00045-6