title: Early-onset Escherichia coli sepsis presenting as acute scrotum in preterm infant.
abstract: 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.
authors.affiliation: Division of Neonatology, Department of Pediatrics, Chang Gung Children's Hospital, Taoyuan, Taiwan.
authors.forename: Ming-Chou
authors.initials: MC
authors.lastname: Chiang
authors.forename: Ta-Min
authors.initials: TM
authors.lastname: Wang
authors.forename: Ren-Huei
authors.initials: RH
authors.lastname: Fu
authors.forename: Shih-Ming
authors.initials: SM
authors.lastname: Chu
authors.forename: Yi-Hung
authors.initials: YH
authors.lastname: Chou
mesh_terms: 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
chemical_list: D002439:Cefotaxime