Escherichia coli Bacteremia, Epididymo-Orchitis, and Scrotal Abscess in a Neonate

Julie E Stark; Lilly A Bellman; Sarah H Kamel; Benjamin M Whittam; John C Christenson; Emily C Webber

doi:10.1093/jpids/pis057

Escherichia coli Bacteremia, Epididymo-Orchitis, and Scrotal Abscess in a Neonate

J Pediatric Infect Dis Soc. 2012 Dec;1(4):340-2. doi: 10.1093/jpids/pis057. Epub 2012 Jun 29.

Authors

Julie E Stark¹, Lilly A Bellman¹, Sarah H Kamel², Benjamin M Whittam³, John C Christenson⁴, Emily C Webber⁵

Affiliations

¹ Indiana University School of Medicine.
² Indiana University School of Medicine Department of Pediatrics.
³ Indiana University School of Medicine Department of Urology.
⁴ Indiana University School of Medicine Department of Pediatrics Section of Pediatric Infectious Disease Riley Hospital for Children, Indianapolis, Indiana.
⁵ Indiana University School of Medicine Department of Pediatrics Pediatric Hospital Medicine Program Riley Hospital for Children, Indianapolis, Indiana.

PMID: 26619427
DOI: 10.1093/jpids/pis057

Abstract

Epididymo-orchitis (EO) is a rare but important cause of scrotal swelling in pediatric patients. EO is caused by bacteremia leading to hematogenous seeding or ascending infection of the urinary tract. EO can be associated with abscess, bacteremia, and other serious infections, and must be distinguished from other causes of scrotal swelling such as testicular torsion. We present a case of a 16-day-old male with EO, scrotal abscess, and bacteremia from Escherichia coli.

Keywords: Epididymo-Orchitis; Neonatal Bacteremia; Scrotal Abscess.