Epididymo-orchitis due to Pseudomonas pseudomallei.

Area of Science:

• Infectious Diseases
• Microbiology
• Urology

Background:

• Epididymo-orchitis is a common clinical condition.
• Pseudomonas pseudomallei (melioidiosis) is an emerging cause of infectious disease, particularly in Southeast Asia and Australia.
• This report highlights a rare presentation of melioidiosis.

Observation:

• A patient presented with symptoms suggestive of epididymo-orchitis.
• Diagnosis was confirmed by isolating Pseudomonas pseudomallei from testicular pus and urine samples.
• This marks the first documented case of this specific etiology.

Findings:

• Successful treatment of Pseudomonas pseudomallei-induced epididymo-orchitis was achieved.
• The patient responded well to a combination therapy of chloramphenicol and co-trimoxazole.
• This case validates the efficacy of these antibiotics for this rare infection.

Implications:

• This case expands the known clinical spectrum of Pseudomonas pseudomallei infections.
• It underscores the importance of considering melioidiosis in the differential diagnosis of epididymo-orchitis, especially in endemic areas.
• The successful treatment outcome provides valuable therapeutic guidance for clinicians managing similar rare cases.