Cases reported "Epididymitis"

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11/166. Acute epididymo-orchitis with abscess formation due to pseudomonas aeruginosa: report of 3 cases.

    We report 3 patients with acute epididymo-orchitis with abscess formation due to pseudomonas aeruginosa, which is relatively unusual and difficult to treat. All patients presented with swollen testicles, pain and high fever. First, they were treated empirically with several antibiotics. After several weeks of antibiotics therapy, the swelling of scrotum still persisted. In one patient, dark yellow pus drained from a fistula of the scrotum. Finally, an orchiectomy was performed on all patients. During the operation, an abscess was found in each testis. Each culture of the pus yielded P. aeruginosa, which is susceptible to many antibiotics. ( info)

12/166. Post-transplant epididymitis and orchitis following listeria monocytogenes septicaemia.

    We report the occurrence of epididymitis and orchitis 1 week after the onset of listeriosis in an 11-month-old boy receiving an orthotopic liver transplantation for biliary atresia. Immunologic implications of listeria monocytogenes-induced testicular inflammation are discussed, and the potential role of immunosuppression with tacrolimus is also discussed. ( info)

13/166. Acute epididymitis attributable to chlamydial infection -- preliminary report.

    Two cases of acute epididymitis are described in which there was found to be a significant rise in the titre of antibodies to the chlamydial group of organisms. It is suggested that chlamydial infection is a cause of acute epididymitis. ( info)

14/166. Epididymoorchitis mimicking testicular torsion in Henoch-Schonlein purpura.

    Henoch-Schonlein purpura, although being a systemic vasculitis, mostly involves skin, gastrointestinal system, joints, and kidneys. Testicular involvement is a rare occurrence. A 7-year-old boy with Henoch-Schonlein purpura developed acute scrotum and was referred to rule out testicular torsion. On gray-scale ultrasonography, the testes and epididymis were slightly enlarged, and had heterogeneous and hypoechoic echotexture. The scrotal wall was thickened as well. color and power Doppler ultrasonography revealed increased vascularity in scrotal contents. Testicular torsion was excluded and the diagnosis of testicular involvement of Henoch-Schonlein purpura was established. color Doppler US, together with gray-scale findings, can be useful in the evaluation of Henoch-Schonlein purpura with acute scrotum, excluding testicular torsion and preventing unnecessary surgery. ( info)

15/166. ofloxacin: a probable cause of toxic epidermal necrolysis.

    OBJECTIVE: To report a fatal case of toxic epidermal necrolysis in a man who was treated with oral ofloxacin for epididymitis. CASE SUMMARY: A 75-year-old white man received 23.6 grams of ofloxacin over a 51-day period for epididymitis. He experienced a severe skin reaction diagnosed as toxic epidermal necrolysis. The man died from complications related to toxic epidermal necrolysis. DISCUSSION: Toxic epidermal necrolysis is an infrequent, yet often fatal, severe, systemic, cutaneous disease most often the result of an adverse drug reaction. fluoroquinolones have rarely been implicated in cases of toxic epidermal necrolysis. A medline search from 1966 to December 2000 revealed no reports of toxic epidermal necrolysis, erythema multiforme, or stevens-johnson syndrome due to ofloxacin therapy. However, a large case-control study included three cases of either stevens-johnson syndrome or toxic epidermal necrolysis associated with ofloxacin use, but no details of the cases were given. This report rules out other causes of toxic epidermal necrolysis and implicates ofloxacin in what appears to be an atypical presentation of drug-induced toxic epidermal necrolysis. CONCLUSIONS: There is very little published information regarding ofloxacin-induced toxic epidermal necrolysis. There are a few case reports of other fluoroquinolones that have been associated with toxic epidermal necrolysis. It is hoped that this case report creates awareness that ofloxacin-induced toxic epidermal necrolysis is possible. ( info)

16/166. Case report. Epididymo-orchitis and bacteremia caused by plesiomonas shigelloides in an hiv-infected patient.

    Invasive infection and extraintestinal complications are rarely caused by plesiomonas shigelloides, a waterborne bacterium implicated in gastroenteritis. Recent evidence from several reports suggests its importance in causing opportunistic infections in immunocompromised hosts. We report a case of P shigelloides bacteremia and epididymo-orchitis in a patient with hiv infection and chronic hepatitis c. This case illustrates a novel site of involvement by P shigelloides and underscores its role as an opportunistic pathogen. ( info)

17/166. Granulomatous orchitis and spermatic granuloma.

    One case of granulomatous orchitis and three cases of spermatic granuloma are described and the clinical and pathologic features of the two syndromes are discussed. Since no certain diagnosis is possible on clinical grounds alone, it rests on the evidence of pathology. Both granulomatous orchitis and spermatic granuloma are of practical importance to the specialists, the first being apt to mimic tumours, and the second to tuberculous epididymitis. Histological study, possibly of biopsy specimens, permits to differentiate either process from malignancy and from tuberculosis with certainty. It is to be emphasized that in many cases of chronic epididymitis with clinical suspicion of tuberculosis careful histological search reveals spermatic granuloma. Since the processes under discussion are unresponsive to antibiotics, their therapy is surgical. ( info)

18/166. Preoperative diagnosis of bilateral tuberculous epididymo-orchitis following intravesical bacillus Calmette-Guerin therapy for superficial bladder carcinoma.

    We report a case of bilateral tuberculous epididymo-orchitis following intravesical bacillus Calmette-Guerin (BCG) therapy for superficial bladder carcinoma in which the diagnosis was made by ultrasonography prior to surgery. The US findings include heterogeneous enlargement of the epididymis and testis, associated with scrotal-skin thickening and scrotal sinus track. patients with bladder carcinoma treated with intravesical BCG therapy, the presence of scrotal swelling with scrotal-skin thickening and epididymal involvement suggests tuberculous epididymo-orchitis rather than testicular tumour. It is important to be aware of this rare complication and to be familiar with the ultrasonographic features so that appropriate treatment can be given. ( info)

19/166. cysts of the ejaculatory system--a treatable cause of recurrent epididymo-orchitis in children.

    PURPOSE: The commonest causes of acutely painful scrotum are torsion (of appendix of the testis or the testis itself) and epididymo-orchitis. Exploration is the only way to prove the diagnosis and multiple such procedures are performed in patients with recurrent epididymo-orchitis. The purpose of our study was to investigate the cause of recurrent epididymo-orchitis in pre-pubertal children. Four children, aged three years or less, were investigated for recurrent left epididymo-orchitis. All four had cystic dilatation of the ejaculatory duct in the region of the prostatic utriculus, associated in two children with ectopic opening of the vas in the bladder. Initial ultrasound appeared to be normal in all four patients, a retrospective review of the sonographic films, however, revealed a retrovesical cyst in three of them. The diagnosis was established by a combination of urethroscopy with retrograde contrast study via the utriculus and open vasography. All four cases were treated operatively by a transtrigonal approach. The cyst was excised in each case. In one, a vasovasostomy was performed between the left and the normal right vas; in the other three the left vas was anastomosed to the blind end of the contralateral seminal vesicle. All four are symptom-free at one year follow-up. cysts of the ejaculatory duct are a treatable cause of recurrent epididymo-orchitis. Pre-pubertal children with recurrent epididymo-orchitis and no obvious underlying cause should have a thorough sonographic examination of the retrovesical region for cystic lesions. ( info)

20/166. Scrotal pain in the absence of torsion; need for vigilance.

    epididymitis is a common presentation of acute testicular pain seen in the emergency department, the differential diagnosis being testicular torsion. The vast majority of young men with epididymitis have an infective aetiology and this settle with antibiotic treatment. The clinical course of a patient who presented with testicular pain is described. At ultrasonography, the patient was found to have the uncommon condition of testicular microlithiasis, a condition that has been linked to malignant disease. Emergency doctors should be aware of the potential consequences of returning scrotal pain consistent with epididymitis to the community on antibiotic treatment alone. All patients with probable epididymitis should have either a scrotal ultrasound or specialist follow up. ( info)
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