title: Testicular swelling with pneumonia and septicaemia: a rare presentation of right-sided endocarditis.
abstract: As far as we are aware, right-sided bacterial endocarditis has not previously been described as presenting with systemic illness and testicular swelling. We report a teenager who presented with this unusual combination as a consequence of right-sided endocarditis. He presented with high fever, with chills and rigor, along with painful enlargement of the left testicle, a productive cough with progressive breathlessness, and joint pains. His blood culture was positive for Staphylococcus aureus, and a computerised tomographic scan of the chest revealed multiple pulmonary emboluses. Ultrasound of the testicles showed features of inflammation, and an echocardiogram revealed a vegetation on the tricuspid valve.
authors.affiliation: Department of Paediatric Cardiology, Southampton General Hospital, UK.
authors.forename: Chinnasamy S
authors.initials: CS
authors.lastname: Muthukumaran
authors.forename: Poonamallee R
authors.initials: PR
authors.lastname: Govindaraj
authors.forename: Joseph
authors.initials: J
authors.lastname: Vettukattil
mesh_terms: D000293:Adolescent; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008297:Male; D009920:Orchitis / Q000000981:diagnostic imaging / Q000209:etiology*; D011655:Pulmonary Embolism / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014261:Tricuspid Valve / Q000000981:diagnostic imaging