Vallianou N G, Melaki K, Constantinou F, Gennimata V, Kokkinakis E
Evangelismos General Hospital, Athens, Greece.
New Microbes New Infect. 2018 Aug 16;26:1-2. doi: 10.1016/j.nmni.2018.08.010. eCollection 2018 Nov.
may cause testicular masses, which may be confused with a testicular tumour. We present the case of a man with fever and oedema in the scrotum. Ultrasound and colour Doppler ultrasound with a 6 to 15 MHz high-frequency linear-array transducer was performed, revealing bilateral scrotal wall oedema, heterogeneous echo texture and slightly increased vascularization of the right testis, with hypoechoic lesions characterized by hypervascular margins and no flow within them. These findings were compatible with testicular abscesses. Three blood cultures grew so the patient received treatment with doxycycline and rifampin for 8 weeks, which resulted in disappearance of the testicular abscesses.
可能导致睾丸肿块，这可能与睾丸肿瘤相混淆。我们报告一例阴囊发热和水肿的男性病例。使用6至15兆赫高频线性阵列换能器进行了超声和彩色多普勒超声检查，显示双侧阴囊壁水肿、回声纹理不均匀以及右侧睾丸血管化略有增加，低回声病变特征为边缘血管丰富且内部无血流。这些发现符合睾丸脓肿。三次血培养有细菌生长，因此患者接受了强力霉素和利福平治疗8周，结果睾丸脓肿消失。
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