Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges

Table 1

Review of blastomycosis case reports with genitourinary involvement.

Author/Years	Genitourinary presentation	Time to antifungal initiation	Diagnostic method	Antifungal treatment duration	Outcome
Bergner et al. [13]	LUTS, malaise, chronic weakness, fever	2 months	Postmortem histology, antemortem culture	N/A	Deceased
Gandam Venkata et al. [14]	Acute urinary retention	2 weeks	Culture	N/A	Deceased
Inoshita et al. [15]	Patient 1: Dysuria, acute urinary retention; Patient 2: Frequency and burning urination	Patient 1 : 6 weeks; Patient 2 : 3 weeks	Microscopic prostatic secretion, histology of prostate	Patient 1 : 3 months IV amphotericin; Patient 2: Ketoconazole 1 month	Recovered
Najdawi et al. [21]	Bilateral testicular pain, dysuria, urgency, acute urinary retention	4 months	Culture	Itraconazole 6 months	Recovered
Neal and Nikolai [16]	Urgency, frequency, dysuria, nocturia	6 weeks	Fine needle aspiration	Itraconazole 6 months	Recovered
Sloan et al. [17]	Prostatitis, acute urinary retention, night sweat, fever	>2 weeks	Urine culture, histology of prostate	Itraconazole 1 year	Recovered
Seo et al. [9]	Nocturia, hematospermia, perineal pain	>6 weeks	Staining of histological specimen, culture	Ketoconazole 1 year	Recovered

LUTS = lower urinary tract symptoms.