Kunta Avaneesh, Gibson Samantha, Seth Abhishek, Alexander Kenneth A, Cadilla Adriana, Ellsworth Pamela
University of Central Florida College of Medicine, Orlando, FL, USA.
Division of Pediatric Urology, Nemours Children's Hospital, Orlando, FL, USA.
Urol Case Rep. 2024 Nov 15;58:102886. doi: 10.1016/j.eucr.2024.102886. eCollection 2025 Jan.
Neonatal epididymo-orchitis (EO) is a rare condition, particularly when caused by S, a pathogen typically associated with gastroenteritis. We present the case of a 15-day-old male who developed right-sided scrotal swelling and erythema. Scrotal ultrasound confirmed EO without signs of torsion or abscess. Further investigation revealed potential exposure from feeding bottles, and stool PCR confirmed the diagnosis. The patient responded well to antibiotics, avoiding surgical intervention. This case highlights the rarity of EO in neonates and the value of early imaging, thorough history-taking, and environmental exposure assessment in guiding conservative management and avoiding surgery.
新生儿附睾炎-睾丸炎（EO）是一种罕见病症，尤其是由通常与肠胃炎相关的病原体S引起时。我们报告一例15日龄男婴，出现右侧阴囊肿胀和红斑。阴囊超声证实为EO，无扭转或脓肿迹象。进一步调查发现可能因奶瓶接触感染，粪便聚合酶链反应（PCR）确诊。患者对抗生素反应良好，避免了手术干预。该病例凸显了新生儿EO的罕见性，以及早期影像学检查、全面病史采集和环境暴露评估在指导保守治疗及避免手术方面的价值。
