Epididymo-orchitis

Question 1

Initial Treatment of E-O?

Answer 1

Antibiotics (azithromycin, ciprofloxacin or doxycycline)

Question 2

What is the most likely causative organism of E-O and over 35?

Answer 2

E.Coli

Question 3

A 65-year-old active builder presents to the emergency department. He presents with a 2-day history of fever and left-sided scrotal pain with swelling. Prior to this 10 days ago he had a urinary tract infection which seemed to subside after antibiotics. Past history includes a diagnosis of benign prostatic hyperplasia (BPH) where he is on the waiting list for transurethral resection of the prostate. He is still sexually active with his wife and he states that he has never had a sexually transmitted disease.

What is the most likely diagnosis and causative organism?

Answer 3

E-O, E.Coli

Question 4

What is the most likely causative organism of E-O and is under 35?

Answer 4

Chlamydia

Question 5

A 34-year-old man presents to the emergency department with a three-day history of left testicular pain. The pain is associated with a burning sensation while passing urine. He is sexually active and denies the presence of any urethral discharge. There is no previous history of sexually transmitted diseases, trauma or similar episodes. Examination reveals a swollen and tender left testicle.

Which of the following organism is most likely responsible for this condition?

Answer 5

Acute epididymo-orchitis in sexually active younger adults is most commonly caused by Chlamydia

In men 35 years of age or older, it is usually caused by enteric organisms (Escherichia coli or Enterococcus faecalis) that cause urinary tract infections, and may be associated with anatomical abnormalities of the urinary tract.