Berner R, Schumacher R F, Zimmerhackl L B, Frankenschmidt A, Brandis M
Department of Paediatrics, Albert-Ludwigs-Universität, Freiburg, Germany.
Acta Paediatr. 1994 Sep;83(9):992-3. doi: 10.1111/j.1651-2227.1994.tb13191.x.
Extraintestinal manifestations of salmonellosis in paediatric patients are found predominantly in infants less than three months of age. Genital involvement is a rare complication. We present a short review of the literature and describe the case of a 10-week-old boy suffering from severe diarrhoea, who presented with a swelling of the right testicle after six days of illness. He underwent surgery on suspicion of testicular torsion, whereby orchitis was diagnosed. Salmonella enteritidis was cultured from the intraoperative swab. All cultures from blood, CSF and urine remained sterile. We conclude that orchitis must be taken into consideration as an extraintestinal complication of enteric salmonellosis and as a differential diagnosis of testicular torsion. In addition, we wish to emphasize that any infant less than three months of age with suspected or proven salmonellosis, should receive early antibiotic treatment.
小儿沙门氏菌病的肠外表现主要见于三个月以下的婴儿。生殖器受累是一种罕见的并发症。我们对文献进行简要综述，并描述一例10周大患严重腹泻的男孩病例，该男孩在患病六天后出现右侧睾丸肿胀。因怀疑睾丸扭转，他接受了手术，术中诊断为睾丸炎。术中拭子培养出肠炎沙门氏菌。血液、脑脊液和尿液的所有培养结果均为无菌。我们得出结论，睾丸炎必须被视为肠道沙门氏菌病的肠外并发症以及睾丸扭转的鉴别诊断。此外，我们想强调的是，任何疑似或确诊为沙门氏菌病的三个月以下婴儿，都应尽早接受抗生素治疗。
