Bilateral scrotal abscesses caused by Klebsiella Pneumoniae in a newborn

NeonatalEscherichia coliinfection in twins: clinical spectrum and management dilemma

“…Gram-positive bacteria is usually implicated, but abscesses due to Klebsiella pneumoniae , E. coli and Candida albicans have been reported. 14 15 Abscess due to E. coli , as was the case here, appears extremely rare, with only four reported cases in the literature. 16–19 Even if the testicle appears severely inflamed, necrosis is rare and the testicle can usually be salvaged.…”

Scrotal abscess owing toCandida albicansin a newborn

“…4,5 Scrotal abscess has also been reported as a part of Klebsiella pneumonia and staphylococcal septicaemia by haematogenous infection. [2][3][4] Candida species are capable of invading all vital organs after candidaemia, and end-organ damage is quite common after neonatal septicaecemia. 6 Abscesses of different organs including brain, liver, kidneys, endocardium, lens and adrenals have been reported secondary to candida infection in neonates, 6,[9][10][11][12] but scrotal abscess has not been reported before.…”

“…1 Causative organisms include Klebsiella pneumoniae, Staphylococcus and Salmonella sepsis. [2][3][4][5] Because the initial symptoms are quite similar, it is often difficult to differentiate infectious pathologies of the scrotum from testicular torsion which is a surgical emergency requiring prompt surgical exploration. Systemic candidiasis is a not uncommon cause of late-onset sepsis, especially in sick premature neonates who have received broad-spectrum antibiotics and total parenteral nutrition.…”

Perspective in Pediatric Pathology, Chapter 24. Testicular Inflammatory Processes in Pediatric Patients

“…The most frequent etiological agents in neonatal orchitis are: Escherichia coli [22,23], Klebsiella pneumoniae [24], Pseudomonas aeruginosa [25,26], and chemical epididymitis caused by urethroejaculatory reflux. Neisseria gonorrhea and Chlamydia trachomatis are the most common agents in older boys [27].…”