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Emphysematous epididymitis following hydrocelectomy
Acute epididymo-orchitis is an inflammatory process caused by bacterial infection. Emphysematous epididymitis is an extremely rare manifestation characterized by gas within the epididymal tissues. We report a case of emphysematous epididymitis following hydrocelectomy in a patient with a history of...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573954/ https://www.ncbi.nlm.nih.gov/pubmed/33102060 http://dx.doi.org/10.1016/j.eucr.2020.101361 |
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author | Greear, Garrick M. Bechis, Seth K. |
author_facet | Greear, Garrick M. Bechis, Seth K. |
author_sort | Greear, Garrick M. |
collection | PubMed |
description | Acute epididymo-orchitis is an inflammatory process caused by bacterial infection. Emphysematous epididymitis is an extremely rare manifestation characterized by gas within the epididymal tissues. We report a case of emphysematous epididymitis following hydrocelectomy in a patient with a history of spinal cord injury and chronic bacteriuria. The diagnosis was made by clinical and laboratory data with imaging demonstrating foci of gas within the epididymal structures. We hypothesize that intermittent catheterization may have contributed to bacterial translocation into the adjacent cord structures and development of infection. High level of suspicion leading to early diagnosis, aggressive antibiotics and adequate debridement are required. |
format | Online Article Text |
id | pubmed-7573954 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-75739542020-10-23 Emphysematous epididymitis following hydrocelectomy Greear, Garrick M. Bechis, Seth K. Urol Case Rep Inflammation and Infection Acute epididymo-orchitis is an inflammatory process caused by bacterial infection. Emphysematous epididymitis is an extremely rare manifestation characterized by gas within the epididymal tissues. We report a case of emphysematous epididymitis following hydrocelectomy in a patient with a history of spinal cord injury and chronic bacteriuria. The diagnosis was made by clinical and laboratory data with imaging demonstrating foci of gas within the epididymal structures. We hypothesize that intermittent catheterization may have contributed to bacterial translocation into the adjacent cord structures and development of infection. High level of suspicion leading to early diagnosis, aggressive antibiotics and adequate debridement are required. Elsevier 2020-07-27 /pmc/articles/PMC7573954/ /pubmed/33102060 http://dx.doi.org/10.1016/j.eucr.2020.101361 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Inflammation and Infection Greear, Garrick M. Bechis, Seth K. Emphysematous epididymitis following hydrocelectomy |
title | Emphysematous epididymitis following hydrocelectomy |
title_full | Emphysematous epididymitis following hydrocelectomy |
title_fullStr | Emphysematous epididymitis following hydrocelectomy |
title_full_unstemmed | Emphysematous epididymitis following hydrocelectomy |
title_short | Emphysematous epididymitis following hydrocelectomy |
title_sort | emphysematous epididymitis following hydrocelectomy |
topic | Inflammation and Infection |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7573954/ https://www.ncbi.nlm.nih.gov/pubmed/33102060 http://dx.doi.org/10.1016/j.eucr.2020.101361 |
work_keys_str_mv | AT greeargarrickm emphysematousepididymitisfollowinghydrocelectomy AT bechissethk emphysematousepididymitisfollowinghydrocelectomy |