SARS-CoV-2-Associated Obliterative Arteritis Causing Massive Testicular Infarction.
Dámaso ParrónAne GartziaAne Miren IturreguiIgone ImazClaudia ManiniJorge García-OlaverriJose Ignacio LópezPublished in: Clinics and practice (2021)
A 26-year-old man with symptomatic SARS-CoV-2 infection developed a sudden-onset acute testicular pain. The echo-doppler images showed massive testicular infarction, so orchiectomy was performed. On gross examination, the surgical specimen showed complete testicular necrosis and diffuse thickening of the testicular coverings. Under the microscope, a severe obliterative arteritis was evidenced. SARS-CoV-2 spike antibody was detected by immunohistochemistry in the arterial endothelium. Electron microscopy displayed intracytoplasmic spiky viral particles in endothelial cells. The patient was treated with corticoids and was asymptomatic at last contact.
Keyphrases
- sars cov
- germ cell
- respiratory syndrome coronavirus
- endothelial cells
- electron microscopy
- chronic pain
- nitric oxide
- liver failure
- magnetic resonance imaging
- intensive care unit
- computed tomography
- pain management
- early onset
- optical coherence tomography
- hepatitis b virus
- extracorporeal membrane oxygenation
- high glucose
- newly diagnosed