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We present a unique case of a 28-year-old professional male gamer with a remote history of hemoptysis and cervical lymphadenopathy who presented with hematospermia, lower urinary tract symptoms (LUTS), and persistent groin abscesses after left orchiectomy at an outside hospital. He underwent drainage of groin abscess and prostate biopsy for an abnormal digital rectal exam which revealed disseminated blastomycosis requiring systemic, long-term antifungal treatment. We have also included a review of literature to note clinical patterns in presentations and highlight the diagnostic challenges that this infection presents.<\/jats:p>","DOI":"10.1155\/2023\/4713948","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T22:35:07Z","timestamp":1703025307000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Genitourinary Blastomycosis in a Young Male Patient: A Case Report and Review of Diagnostic Challenges"],"prefix":"10.1155","volume":"2023","author":[{"given":"Emily","family":"Hillman","sequence":"first","affiliation":[{"name":"Department of Urology, University of Louisville School of Medicine, Louisville, KY 40217, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1109-6621","authenticated-orcid":true,"given":"Hangcheng","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Louisville School of Medicine, Louisville, KY 40217, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randa","family":"Obid","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Louisville School of Medicine, Louisville, KY 40217, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3509-7856","authenticated-orcid":true,"given":"Uzoma A.","family":"Anele","sequence":"additional","affiliation":[{"name":"Department of Urology, University of Louisville School of Medicine, Louisville, KY 40217, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"1","key":"1","first-page":"99","article-title":"Central nervous system and genitourinary blastomycosis: confusion with tuberculosis","volume":"139","author":"H. 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