NYMC Faculty Publications

Epididymo-Orchitis and Bacteraemia in an Immunocompetent Patient

Author Type(s)

Resident/Fellow, Faculty

DOI

10.12890/2023_004205

Journal Title

European Journal of Case Reports in Internal Medicine

First Page

004205

Document Type

Article

Publication Date

1-1-2024

Department

Medicine

Abstract

BACKGROUND: Epididymitis is a common cause of scrotal pain in adults, with coliform bacteria being the most common isolated organisms in patients older than 35. CASE PRESENTATION: A 51-year-old healthy patient presented with scrotal pain and swelling, and was found to have epididymo-orchitis and bacteraemia caused by , which has not previously been reported as a cause of epididymo-orchitis and bacteraemia in immunocompetent patients. DISCUSSION: Diagnostic studies can help confirm the diagnosis and detect the causative pathogen. In all suspected cases, a urinalysis, urine culture and a urine or urethral swab for nucleic acid amplification tests (NAATs) for and should be performed. Colour Doppler ultrasonography often shows an enlarged thickened epididymis with increased Doppler wave pulsation in epididymitis. are pleomorphic gram-negative rods that commonly colonise the human respiratory tract and are associated with a number of clinical conditions. has been reported as a cause of epididymo-orchitis in prepubertal boys, and in few cases were associated with positive blood cultures. In adults, has been isolated before from urine samples or urethral swabs in patients with epididymitis or epididymo-orchitis. CONCLUSION: This case highlights the possibility of causing epididymo-orchitis and bacteraemia in immunocompetent patients. Healthcare providers should consider in the differential diagnosis of epididymitis and epididymo-orchitis in both immunocompetent and immunocompromised patients. LEARNING POINTS: can cause epididymo-orchitis and bacteraemia in immunocompetent patients. This has not been previously reported. should be considered in the differential diagnosis of epididymitis and epididymo-orchitis in both immunocompromised and immunocompetent patients.Healthcare providers should be aware of the increasing incidence of epididymitis and epididymo-orchitis caused by non-coliform bacteria in patients older than 35 years, especially in immunocompromised patients.

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