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Vol. 25 - Num. 99

Clinical Reviews

Acute scrotum in infants

Paula Melero Guardiaa, Elisabeth Domingo Lagmanb, Agustín Muñoz Cutillasa, Eduardo Oujo Álamoa, María Escobar Castellanosc, Clara Ferrero García-Loygorric

aMIR-Pediatría. Hospital General Universitario Gregorio Marañón. Madrid. España.
bMIR-Pediatría. Hospital Universitari Mutua Terrassa. Barcelona. España.
cPediatra. Servicio Urgencias Pediátricas. Hospital General Universitario Gregorio Marañón. Madrid. España

Correspondence: A Muñoz . E-mail: amunozcuti@gmail.com

Reference of this article: Melero Guardia P, Domingo Lagman E, Muñoz Cutillas A, Oujo Álamo E, Escobar Castellanos M, Ferrero García-Loygorri C. Acute scrotum in infants . Rev Pediatr Aten Primaria. 2023;25:281-3. https://doi.org/10.60147/d13dda85

Published in Internet: 02-10-2023 - Visits: 2546

Abstract

Acute scrotum consists of testicular pain associated with local inflammatory signs and is very unsual in neonates and infants.

We present a case of a 2-month-old infant with right scrotal swelling and erythema of 48 hours' evolution. Peak fever in the emergency department. On examination, the teste was painful on palpation, with cremasteric reflex present. Testicular ultrasound showed right orchiepididymitis with associated hydrocele. Laboratory tests show leukocytosis, neutrophilia and minimal elevation of acute phase reactants. Urine culture isolated Escherichia coli. He received antibiotherapy for 2 weeks with good evolution.

Orchiepididymitis is an acute inflammation of the testicle and epididymis, and it is a very rare pathology in neonates and infants. Haematogenous dissemination is the most frequent cause in this age group, with E. coli being the most frequently isolated germ. Therefore, in neonates and infants with orchiepididymitis, considering the risk of associated bacteraemia, it is essential to optimize the diagnosis by including a complete sepsis study together with Doppler ultrasound and the early initiation of empirical antibiotherapy.

Keywords

Acute scrotum Infant Orchiepididymitis Testicular pain

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