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Salmonella enteritidis orchitis in a 10-week-old boy
R Berner1, R F Schumacher, L B Zimmerhackl
1Department of Paediatrics, Albert-Ludwigs-Universität, Freiburg, Germany.
Acta Paediatrica (Oslo, Norway : 1992)
|September 1, 1994
Summary
Salmonellosis in infants can cause rare complications like orchitis (testicular inflammation). Early antibiotic treatment is crucial for infants under three months with suspected salmonellosis to prevent severe outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Microbiology
Background:
- Salmonellosis commonly affects infants, with extraintestinal manifestations primarily seen in those under three months.
- Genital involvement is an infrequent complication of Salmonella infections.
Observation:
- A 10-week-old boy with severe diarrhea developed right testicular swelling after six days.
- Surgical exploration, initially for suspected testicular torsion, revealed orchitis.
Findings:
- Salmonella enteritidis was identified from intraoperative swabs of the affected testicle.
- Blood, cerebrospinal fluid (CSF), and urine cultures were sterile, indicating localized infection.
Implications:
- Orchitis should be considered an extraintestinal complication of enteric salmonellosis in infants.
- Orchitis due to Salmonella should be differentiated from testicular torsion in pediatric patients.
- Prompt antibiotic therapy is recommended for infants under three months with suspected or confirmed salmonellosis.