Early-onset Escherichia coli sepsis presenting as acute scrotum in preterm infant.
Epididymitis, or epididymo-orchitis, and infected hydrocele are unusual in the neonatal period. It is critical to differentiate them rapidly from testicular torsion to salvage the affected testis and avoid unnecessary surgical exploration. Escherichia coli is an important gram-negative bacteria causing diverse neonatal infections and is also the common bacteria causing epididymo-orchitis from an ascending route. We report the case of a preterm infant affected with epididymo-orchitis and infected hydrocele caused by early-onset E. coli sepsis. We highlight the importance of sampling proper cultures and using suitable antibiotics after excluding testicular torsion in a neonate with an acute scrotum.
Chiang
Ming-Chou
MC
Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
Wang
Ta-Min
TM
Fu
Ren-Huei
RH
Chu
Shih-Ming
SM
Chou
Yi-Hung
YH
D000208:Acute Disease; D016470:Bacteremia / Q000150:complications / Q000382:microbiology; D002439:Cefotaxime / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004823:Epididymitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D009920:Orchitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012611:Scrotum / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology*; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013086:Spermatic Cord Torsion / Q000175:diagnosis; D006848:Testicular Hydrocele / Q000150:complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D002439:Cefotaxime