Farouji Abdelhadi, Haddad Ahmad W, Khan Nibras Yar, Battah Arwa, Ahmad Amaar S, Slim Jihad
Department of Internal Medicine, Saint Michael's Medical Center, New York Medical College, Newark, USA.
Department of Infectious Diseases, Saint Michael's Medical Center, New York Medical College, Newark, USA.
Eur J Case Rep Intern Med. 2023 Dec 15;11(1):004205. doi: 10.12890/2023_004205. eCollection 2024.
Epididymitis is a common cause of scrotal pain in adults, with coliform bacteria being the most common isolated organisms in patients older than 35.
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.
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.
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.
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.
附睾炎是成人阴囊疼痛的常见原因，在35岁以上患者中，大肠菌是最常见的分离出的病原体。
一名51岁健康患者出现阴囊疼痛和肿胀，被发现患有附睾炎和睾丸炎以及菌血症，病原体为[未提及具体病菌名称]，此前尚未有该病菌作为免疫功能正常患者附睾炎和菌血症病因的报道。
诊断性检查有助于确诊并检测出致病病原体。在所有疑似病例中，应进行尿液分析、尿培养以及尿液或尿道拭子的核酸扩增试验（NAATs）以检测[未提及具体病菌名称]。彩色多普勒超声检查在附睾炎中常显示附睾肿大增厚，附睾内多普勒波搏动增强。[未提及具体病菌名称]是多形性革兰氏阴性杆菌，通常寄生于人类呼吸道，并与多种临床病症相关。据报道，[未提及具体病菌名称]是青春期前男孩附睾炎的病因，少数病例与血培养阳性有关。在成人中，[未提及具体病菌名称]曾在附睾炎或附睾睾丸炎患者的尿液样本或尿道拭子中分离出。
该病例突出了[未提及具体病菌名称]在免疫功能正常患者中导致附睾炎和菌血症的可能性。医疗保健人员在免疫功能正常和免疫功能低下患者附睾炎和附睾睾丸炎的鉴别诊断中应考虑到[未提及具体病菌名称]。
[未提及具体病菌名称]可在免疫功能正常患者中导致附睾炎和菌血症。此前未有相关报道。在免疫功能低下和免疫功能正常患者附睾炎和附睾睾丸炎的鉴别诊断中应考虑到[未提及具体病菌名称]。医疗保健人员应意识到35岁以上患者，尤其是免疫功能低下患者中，非大肠菌引起的附睾炎和附睾睾丸炎发病率不断上升。
