Epididymo-orchitis and testicular abscess caused by Salmonella enteritidis in immunocompromised patients in Kuwait

Khalid Al-Obeid, Nawaf N. Al Khalifan, Wafaa Jamal, Elijah O. Kehinde, Vincent O. Rotimi

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Objective: To report relatively uncommon presentations of epididymo-orchitis and testicular abscess caused by Salmonella spp. in 2 immunocompromised patients. Clinical Presentation and Intervention: A 56-year-old man, a known case of systemic lupus erythematosus on azathioprine and prednisolone therapy, developed urinary tract infection followed by bacteremia and epididymo-orchitis. Both urine and blood cultures yielded Salmonella enteritidisstrains, which were demonstrated by pulsed-field gel electrophoresis typing method to be genotypically identical. The second patient, a 55-year-old diabetic (type II), presented with a testicular abscess from which a pure culture of S. enteritidis was obtained. Both were treated with intravenous piperacillin and amikacin followed by oral ciprofloxacin, responded well to the therapeutic regimen and were discharged home well. Their follow-ups were uneventful. Conclusion: This report shows that it is important to consider Salmonella infection in the differential diagnosis of inflamed and tender testis in immunocompromised patients and to include blood, urine and stool cultures in all cases.

Original languageEnglish
Pages (from-to)305-308
Number of pages4
JournalMedical Principles and Practice
Volume15
Issue number4
DOIs
Publication statusPublished - Jun 2006

Keywords

  • Epididymo-orchitis
  • Immunocompromised patient
  • Kuwait
  • Salmonella spp.
  • Testicular abscess

ASJC Scopus subject areas

  • Medicine(all)

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