Segmental testicular infarction due to minocycline-induced antineutrophil cytoplasmic antibody-positive vasculitis

Document Type

Journal Article

Publication Date

1-1-2014

Journal

Urology

Volume

84

Issue

1

DOI

10.1016/j.urology.2014.03.011

Abstract

Segmental testicular infarction is an uncommon clinical entity marked by acute scrotal pain and swelling. Classically, these appear as wedge-shaped, avascular, hypoechoic lesions on a testicular ultrasound. We present a unique case of testicular infarct caused by an antineutrophil cytoplasmic antibody-positive vasculitis secondary to the use of the antibiotic minocycline. The patient's symptoms resolved with cessation of minocycline. We suggest that patients who present with otherwise unexplained testicular infarction undergo a careful review of medications to uncover a potential cause. © 2014 Elsevier Inc.

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