RESUMO
Scrotal elephantiasis is a disease that is rarely seen outside the tropical sectors of Africa, Asia, Central and South America. Unlike those endemic regions, where the disease is caused mostly by a filariasis; in developed countries, it is usually secondary to other non-infectious conditions or rarely hereditary. A seventy-eight year old patient presented to the urology clinic with a painful gross scrotal swelling for more than 6 years. The disease proved to be inflammatory and was assumed to be due to filariasis. Subtotal scrotectomy was undertaken followed by scrotal reconstruction with satisfactory cosmetic and functional outcome. To our knowledge, this is the first case of inflammatory probably infectious scrotal elephantiasis to be reported from Bahrain
Assuntos
Humanos , Masculino , Elefantíase/terapia , Elefantíase/complicações , Escroto/patologia , Clima Tropical , África , Ásia , América Central , América do Sul , Doenças Endêmicas , Filariose , Procedimentos de Cirurgia PlásticaRESUMO
A case of scrotal botryomycosis in 50 year old Bahraini male is described. This patient developed intermittent scrotal swelling for the last 6 months which burst with abscess discharge. Microscopic examination showed characteristic granules that resemble those of infection by Actinomyces species. Successful treatment often requires a combination of both surgical excision and antibiotic therapy in such cases. We describe the clinical and pathological findings of this case with review the literature on this uncommon infectious disease