1/20. Serious complications of tuberculous epididymitis.Tuberculous epididymitis is a rare entity associated with minor complications. We present two cases of tuberculous epididymitis associated with serious complications (bilateral psoas abscesses and Addison's disease with psoas abscess). A review of the literature disclosed six additional cases associated with serious complications (Addison's disease, inappropriate antidiuretic hormone secretion, central nervous system involvement) which are discussed and compared to these cases. We conclude that tuberculous epididymitis represents a grave sequela of genital tract involvement and may be associated with serious and even fatal complications.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/20. Acute appendicitis presenting with a testicular mass: ultrasound appearances.Acute appendicitis presenting with scrotal symptoms is a rare event, occurring when a patent processus vaginalis persists. We present a case where ultrasound demonstrated an inflamed appendix and a scrotal abscess, allowing the correct surgical management in a difficult clinical situation. In a child presenting with scrotal signs and vague lower abdominal symptoms, an ultrasound assessment of the right iliac fossa should always be performed.- - - - - - - - - - ranking = 0.5keywords = abscess (Clic here for more details about this article) |
3/20. 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.- - - - - - - - - - ranking = 3keywords = abscess (Clic here for more details about this article) |
4/20. A case of epididymo-orchitis and paravertebral abscess due to brucellosis.brucellosis is a zoonotic infection involving many systems and it is widespread in turkey. Involvement of muscular and skeletal systems is a common complication of brucellosis. Involvement of genitourinary system (epididymo-orchitis) is a rarer complication (Sozen TH. Infeksiyon Hastaliklari. 1996; pp. 486-493; Edward J. Young.Principles and Practice of Infectious Diseases, Vol. 2, 5th edn. 2000; pp. 22386-22393).brucellosis accompanied by abscess formation in the vertebra is frequently seen in the elderly and patients with a chronic disease (Sozen TH. Infeksiyon Hastaliklari. 1996; pp. 486-493; Edward J. Young. Principles and Practice of Infectious Diseases, Vol. 2, 5th edn. 2000; pp. 22386-22393; Af-Eissa YA, Kambal AM et al. Ann rheum Dis 1990;49 : 896-900; Colmenore JD, Cisneron JM, Orjuela DL et al. infection 1992; 20: 38-42). brucellosis accompanied by paravertebral abscess and epididymo-orchitis is extremely rare. In this report, we present a case of epididymo-orchitis and paravertebral abscess due to brucellosis.- - - - - - - - - - ranking = 3.5keywords = abscess (Clic here for more details about this article) |
5/20. Epididymo-orchitis and testicular abscess due to nocardia asteroides complex.nocardia asteroides complex is a rare human pathogen chiefly affecting immunosuppressed patients. We present the sixth case of epididymo-orchitis attributable to this organism. A 78-year-old man presented to the Mayo Clinic with fever and weight loss after being treated with cyclophosphamide and prednisone for an immune-mediated vasculitis. He was found to have a testicular abscess, and orchiectomy was performed. N. asteroides complex was identified on the wound cultures. Sulfa therapy was begun. In previous case reports, this condition carried a 50% mortality rate. patients who survive seemed to benefit from aggressive surgical debridement and long-term sulfa therapy.- - - - - - - - - - ranking = 2.5keywords = abscess (Clic here for more details about this article) |
6/20. Epididymo-orchitis and testicular abscess caused by salmonella enteritidis in immunocompromised patients in kuwait.OBJECTIVE: To report relatively uncommon presentations of epididymo-orchitis and testicular abscess caused by Salmonella spp. in 2 immunocompromised patients. CLINICAL PRESENTATION AND INTERVENTION: A 56-year-old man, a known case of systemic lupus erythematosus on azathioprine and prednisolone therapy, developed urinary tract infection followed by bacteremia and epididymo-orchitis. Both urine and blood cultures yielded salmonella enteritidis strains, which were demonstrated by pulsed-field gel electrophoresis typing method to be genotypically identical. The second patient, a 55-year-old diabetic (type II), presented with a testicular abscess from which a pure culture of S. enteritidis was obtained. Both were treated with intravenous piperacillin and amikacin followed by oral ciprofloxacin, responded well to the therapeutic regimen and were discharged home well. Their follow-ups were uneventful. CONCLUSION: This report shows that it is important to consider Salmonella infection in the differential diagnosis of inflamed and tender testis in immunocompromised patients and to include blood, urine and stool cultures in all cases.- - - - - - - - - - ranking = 3keywords = abscess (Clic here for more details about this article) |
7/20. syndrome of inappropriate antidiuretic hormone following tuberculous epididymo-orchitis in renal transplant recipient: case report.A rare case of the inappropriate antidiuretic hormone syndrome after tuberculous epididymoorchitis in a renal transplant recipient is described. orchiectomy was performed because of a cold abscess, following which clinical improvement was noted.- - - - - - - - - - ranking = 0.5keywords = abscess (Clic here for more details about this article) |
8/20. Bilateral abscessed orchiepididymitis associated with sepsis caused by veillonella parvula and clostridium perfringens: case report and review of the literature.veillonella species is a gram-negative coccus which is part of the anaerobic normal flora in the oral cavity, small intestine, upper respiratory tract, vagina, and urinary tract. The role that this organism plays in infection is not well known, and it is generally associated with other bacteria. We present a case of bilateral abscessed orchiepididymitis associated with septicemia due to veillonella parvula and, later, to clostridium perfringens, with the development of severe renal insufficiency and septic shock, which resolved favorably with antibiotic therapy, treatment of shock, and hyperbaric oxygen therapy. In reviewing the literature, we have not found any other case of sepsis due to veillonella sp. associated with urological disorders.- - - - - - - - - - ranking = 2.5keywords = abscess (Clic here for more details about this article) |
9/20. Evaluation of acute scrotum pain with testicular scanning.Emergency room physicians frequently are faced with the evaluation of the patient with acute testicular pain. The rapid differentiation between testicular torsion and acute epididymitis is necessary although frequently difficult due to an atypical presentation. We describe four patients with testicular pain in whom testicular scanning provided useful adjunctive information regarding diagnosis. This technique clearly differentiates acute torsion, acute epididymitis, testicular rupture, and missed torsion with abscess formation, prompting appropriate therapy in each case. Testicular scanning provides a rapid, noninvasive method to assist in the evaluation of testicular pain.- - - - - - - - - - ranking = 0.5keywords = abscess (Clic here for more details about this article) |
10/20. Urethral cancer presenting with scrotal abscess formation. A differential diagnosis of acute epididymitis.Primary urethral cancer in male subjects is briefly described, and a case is presented in which the formation of a scrotal abscess was the unusual presenting symptom.- - - - - - - - - - ranking = 2.5keywords = abscess (Clic here for more details about this article) |
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