Staphylococcus lugdunensis causing Epididymo-orchitis with scrotal pyocele

Asif, Abuzar A; Shah, Nirali; Orzulak, Francis J. McBee

doi:10.1016/j.idcr.2021.e01142

Cited by 4 publications

(4 citation statements)

References 13 publications

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“…The purulent collection between the visceral and parietal tunica vaginalis layers surrounding the testes is called pyocele. There are various routes through which micro-organisms reach the scrotal sac, which may include transmission via the sexual route, intra-abdominal infections, or trauma [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Scrotal pyocele, a rare urological emergency, is defined as a purulent collection between the visceral and parietal tunica vaginalis layers surrounding the testicle. Pyocele may develop through sexually transmitted infections, intra-abdominal infections, or due to trauma [1][2][3]. Ultrasound is the imaging modality of choice for diagnosing scrotal pathologies [4].…”

Section: Introductionmentioning

confidence: 99%

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Post-traumatic Ruptured Scrotal Collection: Pyocele or Hematocele?

Sood,

Mishra,

Khandelwal

et al. 2023

Cureus

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Ultrasound is the modality of choice for detecting the causes of acute scrotal pain and diagnosing scrotal pathologies. Pyocele is a term used for describing the purulent fluid collection in the scrotal sac, which may present to the hospital as a complication of testicular abscess, epididymal-orchitis, or post-trauma. Ultrasound is the modality of choice for diagnosing such pathologies. The presented case is of a young male from rural India who developed a pyocele post-trauma and underwent an ultrasound examination, where it was found to be a ruptured pyocele with contents spreading into the hemi-scrotum. Rupture of the tunica is frequently associated with the hematocele; however, pyocele is less commonly associated with rupture. The case report discusses the causes of pyocele, imaging features, management, and complications of this pathology along with other possible differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post-traumatic Ruptured Scrotal Collection: Pyocele or Hematocele?

Sood,

Mishra,

Khandelwal

et al. 2023

Cureus

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“…Though many are idiopathic, reports suggest the spread from an intraperitoneal infection (that is, via a patent process vaginalis) as the most common etiology [ 5 – 8 ]. Moreover, the pathogens in most reported cases were found to be bacterial, primarily Escherichia coli ( E. coli ) and, in some instances, Staphylococcus lugdunensis , Klebsiella pneumonia , β-hemolytic streptococci, Salmonella spp., Bacteroides fragilis , and Proteus mirabilis [ 2 – 6 , 9 ]. However, we found no reports in the literature of the spread of the infection from the urinary tract [ 3 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the pathogens in most reported cases were found to be bacterial, primarily Escherichia coli ( E. coli ) and, in some instances, Staphylococcus lugdunensis , Klebsiella pneumonia , β-hemolytic streptococci, Salmonella spp., Bacteroides fragilis , and Proteus mirabilis [ 2 – 6 , 9 ]. However, we found no reports in the literature of the spread of the infection from the urinary tract [ 3 , 9 , 10 ]. Therefore, we report a case of a 23-day-old boy with pyocele and a confirmed urinary tract infection.…”

Section: Introductionmentioning

confidence: 99%

Neonatal pyocele originating from a urinary tract infection: a case report

Jamali,

Shafie’ei,

Soltani Nejad

2024

J Med Case Reports

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Background The origins of pyocele are primarily idiopathic, with reports suggesting the spread from intraperitoneal or hematogenous infection. However, we found no information in the literature regarding the pathogen’s spread from the urinary tract. Case presentation We report here a case of a 23-day-old term Iranian boy (Fars ethnicity) with complaints of new-onset fever, irritability, poor feeding, right hemiscrotal erythema, and edema. Moreover, the physical examination revealed an enlarged, erythematous, tender right hemiscrotum and edematous scrotal walls. Along with leukocytosis and elevated C-reactive protein levels, the urine culture indicated an infection with Escherichia coli. However, as the color Doppler ultrasonographic examination was inconclusive, he underwent surgical exploration on which a hydrocele sac with reddish cloudy pus fluid was noted, with its culture indicating growth with the same mentioned pathogen. Therefore, an appropriate antibiotic regimen was administered, and the patient was discharged a few days later after achieving full recovery and demonstrating no urinary tract structural abnormalities. Conclusion In neonatal pyocele, the spectrum of evaluating the source of the infection should also be extended to the urinary tract. Moreover, administering suitable antibiotics would produce favorable results in cases with no structural abnormalities.

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