Coccidioidomycosis of prostate and epididymis With urethrocutaneous fistula

Coccidioidomycosis is usually a benign respiratory ailment seen in the American southwest. Dissemination is rare, and symptomatic genitourinary involvement is even rarer. An unusual case of coccidioidomycosis is presented with epididymitis, prostatitis, and urethrocutaneous fistula. If the disease is suspected, diagnosis can be made easily on the basis of clinical, pathologic, bacteriologic, and immunologic findings. Treatment is hazardous and must be individualized in patients with genitourinary involvement.