López E, Ferrero M, Lumbreras C, Gimeno C, González-Pinto I, Palengue E
Section of Infectious Diseases, Doce de Octubre Hospital, Universidad Complutense, Madrid, Spain.
Eur J Clin Microbiol Infect Dis. 1994 Apr;13(4):310-3. doi: 10.1007/BF01974607.
A case of epididymo-orchitis due to Nocardia asteroides in a liver transplant recipient is reported. Nocardiosis is an extremely rare cause of epididymo-orchitis. Four other cases published in the English language medical literature are reviewed. All patients were immunocompromised, and other organs were affected simultaneously. Clinically the infection presented as a painful enlargement of the testicle with few inflammatory signs. Mortality was high (3/5), and in the two survivors long-term sulfonamide therapy was combined with orchiectomy. Nocardiosis should be considered in the diagnosis of epididymo-orchitis in the immunocompromised host.
报告了1例肝移植受者因星形诺卡菌引起附睾睾丸炎的病例。诺卡菌病是附睾睾丸炎极为罕见的病因。对英文医学文献中发表的其他4例病例进行了回顾。所有患者均免疫功能低下，且其他器官同时受累。临床上，感染表现为睾丸疼痛性肿大，炎症体征较少。死亡率较高（5例中有3例），两名幸存者均接受了长期磺胺类药物治疗并联合睾丸切除术。在免疫功能低下宿主的附睾睾丸炎诊断中应考虑诺卡菌病。
