Mycobacterium marinum epididymoorchitis: case report and literature review

P Macek; M Bodnarova; J Zavada; P Jezek; I Pavlik; M Slany; M Havelkova; J Stork; J Duskova; T Hanus; R Kocvara

doi:10.1159/000328220

Mycobacterium marinum epididymoorchitis: case report and literature review

Urol Int. 2011;87(1):120-4. doi: 10.1159/000328220. Epub 2011 Jul 2.

Authors

P Macek¹, M Bodnarova, J Zavada, P Jezek, I Pavlik, M Slany, M Havelkova, J Stork, J Duskova, T Hanus, R Kocvara

Affiliation

¹ Department of Urology, General University Hospital and 1st Faculty of Medicine, Charles University, Prague, Czech Republic. macekp @ gentlemail.com

PMID: 21734351
DOI: 10.1159/000328220

Abstract

Mycobacterium marinum is the most frequent non-tuberculous Mycobacterium in humans. We report the first ever described case of epididymoorchitis resulting from hematogenous spread of M. marinum from hand oligoarthritis. This was initially mistaken for rheumatoid disease and methylprednisolone-induced immunosuppression led to hematogenous spread of infection to the testis and epididymis.

Publication types

Case Reports
Research Support, Non-U.S. Gov't
Review

MeSH terms

Anti-Bacterial Agents / therapeutic use
Arthritis, Infectious / diagnosis
Arthritis, Infectious / drug therapy
Arthritis, Infectious / microbiology*
Diagnostic Errors
Epididymitis / diagnosis
Epididymitis / drug therapy
Epididymitis / microbiology*
Finger Injuries / complications*
Humans
Immunosuppressive Agents / adverse effects
Male
Methylprednisolone / adverse effects
Middle Aged
Mycobacterium Infections, Nontuberculous / diagnosis
Mycobacterium Infections, Nontuberculous / drug therapy
Mycobacterium Infections, Nontuberculous / microbiology*
Mycobacterium marinum / isolation & purification
Mycobacterium marinum / pathogenicity*
Orchitis / diagnosis
Orchitis / drug therapy
Orchitis / microbiology*
Treatment Outcome

Substances

Anti-Bacterial Agents
Immunosuppressive Agents
Methylprednisolone

Supplementary concepts

Infection with Mycobacterium marinum