Salmonella enteritidis orchitis in a 10-week-old boy.
Extraintestinal manifestations of salmonellosis in paediatric patients are found predominantly in infants less than three months of age. Genital involvement is a rare complication. We present a short review of the literature and describe the case of a 10-week-old boy suffering from severe diarrhoea, who presented with a swelling of the right testicle after six days of illness. He underwent surgery on suspicion of testicular torsion, whereby orchitis was diagnosed. Salmonella enteritidis was cultured from the intraoperative swab. All cultures from blood, CSF and urine remained sterile. We conclude that orchitis must be taken into consideration as an extraintestinal complication of enteric salmonellosis and as a differential diagnosis of testicular torsion. In addition, we wish to emphasize that any infant less than three months of age with suspected or proven salmonellosis, should receive early antibiotic treatment.
Berner
R
R
Department of Paediatrics, Albert-Ludwigs-Universität, Freiburg, Germany.
Schumacher
R F
RF
Zimmerhackl
L B
LB
Frankenschmidt
A
A
Brandis
M
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D008297:Male; D009920:Orchitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D012480:Salmonella Infections / Q000175:diagnosis*; D012477:Salmonella enteritidis; D013086:Spermatic Cord Torsion / Q000175:diagnosis / Q000601:surgery
D000900:Anti-Bacterial Agents