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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
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Viral Meningitis01:18

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Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
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Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Related Experiment Video

Updated: Mar 29, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
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Bilateral Septic Neonatal Orchiepididymitis - Case Report.

I Djordjevic1, D Zivanovic1, A Slavkovic1

  • 1Clinic for Paediatric Surgery, Niš, Serbia.

The West Indian Medical Journal
|December 4, 2015
PubMed
Summary
This summary is machine-generated.

Neonatal epididymo-orchitis, a rare cause of testicular pain in infant boys, can present as a severe septic form. Early examination and prompt treatment are crucial for preventing potential infertility.

Keywords:
Epididymo-orchitisneonatalsepsis

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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.