Bilateral Septic Neonatal Orchiepididymitis - Case Report

Area of Science:

• Pediatrics
• Neonatology
• Urology

Background:

• Neonatal epididymo-orchitis is a rare condition causing testicular pain in infant males.
• It often coexists with urinary tract infections and malformations, with idiopathic cases being extremely rare.
• This case highlights a severe septic form of idiopathic orchiepididymitis without urinary tract anomalies.

Purpose of the Study:

• To report a rare case of idiopathic neonatal epididymo-orchitis.
• To emphasize the importance of early diagnosis and management in preventing complications like infertility.

Main Methods:

• Case presentation of a seven-day-old male neonate with sepsis, abdominal wall phlegmon, and bilateral acute scrotum.
• Diagnostic tools included color Doppler echosonography revealing epididymo-testicular inflammation with increased vascular flow.
• Surgical exploration for purulent content evacuation and antibiotic treatment with Enterobacter spp. coverage.

Main Results:

• The neonate presented with advanced septic idiopathic orchiepididymitis and bilateral acute scrotum.
• Enterobacter spp. were identified in hemiscrotal pus.
• The patient experienced an uneventful postoperative recovery following surgical intervention and antibiotic therapy.

Conclusions:

• Idiopathic neonatal epididymo-orchitis, though rare, can manifest as a severe septic condition.
• Meticulous postnatal examination of male neonates is essential for early detection and management.
• Prompt intervention is critical to prevent long-term complications such as infertility.