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Melioidosis presenting as epididymo-orchitis
1Department of Surgery, University Hospital, Lembah Pantai, Malaysia.
Singapore Medical Journal
|August 1, 1995
Summary
A rare case of scrotal abscess due to Pseudomonas pseudomallei, a tropical gram-negative bacillus, was treated successfully. The patient recovered after surgical drainage and a six-month course of chloramphenicol.
Area of Science:
- Infectious Diseases
- Microbiology
- Tropical Medicine
Background:
- Pseudomonas pseudomallei (PP) is a gram-negative bacillus prevalent in tropical regions.
- PP infections can manifest in various forms, including suppurative epididymo-orchitis.
Observation:
- A 56-year-old male presented with a scrotal abscess.
Findings:
- The abscess was diagnosed as suppurative epididymo-orchitis caused by PP via microbial culture.
- Successful treatment involved surgical drainage of the abscess.
- The patient received a six-month course of oral chloramphenicol (500 mg four times daily).
Implications:
- This case highlights the importance of considering PP in the differential diagnosis of scrotal infections, especially in endemic areas.
- Effective management includes prompt surgical intervention and appropriate antibiotic therapy.
- Extended antibiotic courses may be necessary for complete resolution of PP epididymo-orchitis.