附睾炎和菌血症：一例报告
epididymo-orchitis and bacteraemia: a case report.
作者信息
Pindar Christina, Viau Roberto A
机构信息
Case Western Reserve, University School of Medicine, Cleveland, OH 44106, USA.
Department of Medicine, Case Western Reserve University, Louis Stokes Cleveland VA Medical Center, Cleveland, OH 44106, USA.
出版信息
JMM Case Rep. 2018 Jul 5;5(7):e005157. doi: 10.1099/jmmcr.0.005157. eCollection 2018 Jul.
INTRODUCTION
Although more often recognized as a culprit in female urinary tract infection, coagulase-negative staphylococci (CoNS) can cause severe genitourinary infections in men. While positive blood cultures with CoNS are usually thought to be contaminants, in the setting of a severe genito-urinary infection they can represent true infection.
CASE PRESENTATION
We present the case of a 70-year-old male without a central venous catheter or urinary catheter who developed bloodstream infection secondary to epididymo-orchitis.
CONCLUSION
This case highlights the importance of prompt recognition of serious CoNS infections, including bacteraemia, in the setting of CoNS genitourinary tract infections.
引言
虽然凝固酶阴性葡萄球菌（CoNS）更常被认为是女性尿路感染的病原体，但它也可导致男性严重的泌尿生殖系统感染。虽然CoNS血培养阳性通常被认为是污染，但在严重泌尿生殖系统感染的情况下，它们可能代表真正的感染。
病例报告
我们报告一例70岁男性患者，无中心静脉导管或导尿管，因附睾炎-睾丸炎继发血流感染。
结论
该病例强调了在CoNS泌尿生殖道感染情况下及时识别包括菌血症在内的严重CoNS感染的重要性。
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