title: Epididymo-orchitis: an unusual manifestation of salmonellosis.
abstract: Salmonellosis continues to be a major public health problem, especially in developing countries. The formation of focal abscesses may occur following either hematogenous or lymphatic spread. There are large number of serious and life-threatening clinical manifestations of Salmonella spp., ranging from osteomyelitis to infective endocarditis and meningitis. However, even though Salmonella epidydimo-orchitis is a relatively rare clinical manifestion, it can present, most often in male babies and adolescent boys, following contact with nontyphoidal Salmonella. Here, we report a case of epididymo-orchitis due to Salmonella Paratyphi A that presented in an otherwise healthy 63-year-old man in order to highlight this organism's unusual clinical presentation. In countries such as India, where Salmonella infections are endemic, a high index of suspicion should be always be maintained and the possibility of a Salmonella infection at an aberrant site where it is hardly expected should not be ruled out.
authors.affiliation: Department of Microbiology, Government Medical College Hospital, Chandigarh, India. drneha_bansal@yahoo.com
authors.forename: Neha
authors.initials: N
authors.lastname: Bansal
authors.forename: Neelam
authors.initials: N
authors.lastname: Kaistha
authors.forename: Jagdish
authors.initials: J
authors.lastname: Chander
mesh_terms: D000038:Abscess / Q000382:microbiology / Q000473:pathology; D061605:Administration, Intravenous; D000284:Administration, Oral; D002443:Ceftriaxone / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003906:Developing Countries; D004823:Epididymitis / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007194:India; D008297:Male; D008875:Middle Aged; D015242:Ofloxacin / Q000627:therapeutic use; D009920:Orchitis / Q000382:microbiology* / Q000473:pathology; D012480:Salmonella Infections / Q000382:microbiology* / Q000473:pathology; D012482:Salmonella paratyphi A / Q000302:isolation & purification / Q000472:pathogenicity*; D016896:Treatment Outcome
chemical_list: D002939:Ciprofloxacin; D002443:Ceftriaxone; D015242:Ofloxacin