Bilateral testicular abscess due to Streptococcus pneumoniae

Tena, Daniel; Leal, Fernando; Pozo, B. Fernández del; Bisquert, Julia

doi:10.1016/j.ijid.2007.09.003

Cited by 6 publications

(7 citation statements)

References 12 publications

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“…Up to 5.5% of untreated epididymo-orchitis will progress to involve the testicular parenchyma [1]. Patients who are immunocompromised or diabetic are at increased risk [1, 2]. Over 50% of cases result in orchiectomy [1, 2].…”

Section: Discussionmentioning

confidence: 99%

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Intratesticular Abscess in a Solitary Testicle: The Case for Testicle Sparing Management

Zaid

Bagga

Reese

et al. 2013

Case Reports in Medicine

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We present the case of a 24-year-old immunocompromised man with an intratesticular abscess. The patient presented with one week of left scrotal pain and swelling. Workup included scrotal ultrasonography which revealed a large fluid collection within the tunica albuginea of the left testis. Surgical exploration of the left testis evacuated a significant amount of purulent fluid. The residual viable testicular parenchyma was salvaged. Intraoperative cultures grew Morganella morganii. Follow-up ultrasonography showed resolution of the testicular fluid collection, and the patient was discharged home with oral antibiotics. Intratesticular abscesses are a rare clinical entity which often result in orchiectomy.

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Section: Discussionmentioning

confidence: 99%

“…Patients who are immunocompromised or diabetic are at increased risk [1, 2]. Over 50% of cases result in orchiectomy [1, 2]. Scrotal ultrasonography is the ideal imaging modality.…”

Section: Discussionmentioning

confidence: 99%

Intratesticular Abscess in a Solitary Testicle: The Case for Testicle Sparing Management

Zaid

Bagga

Reese

et al. 2013

Case Reports in Medicine

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“…Приблизительно у четверти пациентов заболевание характеризуется стёртым клиниколабораторным течением, симулируя опухоль яичка или туберкулёзный орхит [6,24,39,53,54]. Описаны случаи АЯ, в которых начало заболевания проявлялось клинической картиной острого живота по типу острого аппендицита, ущемлённой пахово-мошоночной грыжи, заворота толстой кишки [18,34,49,51].…”

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“…В анализах крови у пациентов с АЯ обнаруживается неспецифическая картина острого гнойного воспаления: гипохромная анемия, лейкоцитоз со сдвигом формулы крови влево, лимфомоноцитопения, повышение скорости оседания эритроцитов и токсическая зернистость лейкоцитов [4,7,28,30,53]. В случае системной воспалительной реакции, обусловленной АЯ, осуществляют забор крови для посева на микрофлору и определения уровня сывороточного прокальцитонина, служащего надёжным маркёром сепсиса [53,60]. При подозрении на АЯ в обязательном порядке исследуют уровень глюкозы крови [7,28,53,60].…”

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“…В случае системной воспалительной реакции, обусловленной АЯ, осуществляют забор крови для посева на микрофлору и определения уровня сывороточного прокальцитонина, служащего надёжным маркёром сепсиса [53,60]. При подозрении на АЯ в обязательном порядке исследуют уровень глюкозы крови [7,28,53,60].…”

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Testicular abscess

Prokhorov¹

2016

Kazan Med J

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In the present literature review modern view on the etiopathogenesis, clinical course, diagnosis, treatment and prognosis of testicular abscess, which is a rare disease, are described. Testicular abscess develops most often as a result of acute epididymo-orchitis (more than 80% of all cases), much rarer due to testicular inversion and injury. The etiological agent is often E. coli. The disease occurs at any age, especially in immunocompromised patients. Clinical and laboratory picture of testicular abscess has symptomatic nature and consists of local and general signs of purulent inflammation. There are no pathognomonic clinical symptoms. Testicular abscess may occur under the guise of acute inguinal and scrotal area diseases, in a quarter of patients it is characterized by inapparent clinical and laboratory course, simulating testicular tumor or tuberculous orchitis. Diagnostic difficulties are caused by nonspecific clinical and laboratory characteristics and radiation patterns, disease infrequency and a lack of awareness among physicians. Suspicion of testicular abscess arise in ineffectiveness of antibiotic therapy for acute epididymo-orchitis during the first 5-7 days of disease and makes physician to perform necessary X-ray studies. The method of choice for the testicular abscess diagnosis is ultrasound examination. The diagnostic capabilities of other radiation techniques have currently been studying. Ultrasound picture of testicular abscess depending on the disease stage is varying and does not differ from the ultrasound picture of abscess of other localization. The most difficult is differential diagnosis of abscess and testicular tumors. In diagnostically ambiguous cases, ultrasound-guided percutaneous testicle biopsy or exploratory surgery are performed. Choice of treatment method is determined by the disease stage. A variety of conservative and surgical treatment methods of the testicular abscess are applied, such as antibiotic therapy, percutaneous puncture and ultrasound-guided abscess aspiration, abscessotomy and orchiectomy. Prognosis for life is favorable with timely treatment of disease.

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