Acute epididymo-orchitis with abscess formation due to Pseudomonas aeruginosa: report of 3 cases

Abstract

P.aeruginosaを起炎菌とする急性精巣炎の3例において, 精巣腫大, 疼痛, 発熱を認めた.まず, いくつかの抗生剤による治療を行ったが, 数週間の抗生剤での保存的な治療にも拘わらず, 陰嚢腫大が持続し, うち1例においては, 陰嚢の潰瘍より黄褐色の膿の排出を認めた.最終的には, 全ての症例で, 精巣摘除術を施行した.手術時, 各々の症例の精巣において膿瘍形成が認められ, 膿培養において, 多剤に感受性を有するP.aeruginosaを同定した

We report 3 patients with acute epididymo-orchitis with abscess formation due to Pseudomonas aeruginosa, which is relatively unusual and difficult to treat. All patients presented with swollen testicles, pain and high fever. First, they were treated empirically with several antibiotics. After several weeks of antibiotics therapy, the swelling of scrotum still persisted. In one patient, dark yellow pus drained from a fistula of the scrotum. Finally, an orchiectomy was performed on all patients. During the operation, an abscess was found in each testis. Each culture of the pus yielded P. aeruginosa, which is susceptible to many antibiotics.