Gonococcal epididymo-orchitis in an octogenarian
Epididymo-orchitis (EO) is inflammation of the epididymis and testicles. In patients older than thirty-five years, it is commonly due to coliform or uropathogenic organisms, whereas younger adults are prone to sexually transmitted infections. We present a relatively infrequent case of gonococcal EO...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2020-07-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2020.1774253 |
| _version_ | 1828080062949228544 |
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| author | Ali Ahmad Halina Kusz |
| author_facet | Ali Ahmad Halina Kusz |
| author_sort | Ali Ahmad |
| collection | DOAJ |
| description | Epididymo-orchitis (EO) is inflammation of the epididymis and testicles. In patients older than thirty-five years, it is commonly due to coliform or uropathogenic organisms, whereas younger adults are prone to sexually transmitted infections. We present a relatively infrequent case of gonococcal EO in an octogenarian. This case describes a geriatric male who presented to the emergency department in septic shock. His history was notable for prostate cancer, urinary incontinence and multiple sexual partners. He endorsed perineal pain, localized tenderness with chills and dysuria, and was eventually diagnosed with bilateral EO and hydroceles on repeat ultrasound. PCR was positive for N. gonorrhea. His symptoms responded well to fluid resuscitation and antimicrobial therapy. This case demonstrates that EO secondary to sexually transmitted infections is an important consideration in even the oldest old. It is therefore imperative to obtain a detailed sexual history and identify high-risk sexual behaviors in this population. |
| first_indexed | 2024-04-11T03:12:14Z |
| format | Article |
| id | doaj.art-f272459d3c774156ae207d62df8abad7 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:12:14Z |
| publishDate | 2020-07-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-f272459d3c774156ae207d62df8abad72023-01-02T11:29:07ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662020-07-0110435035210.1080/20009666.2020.17742531774253Gonococcal epididymo-orchitis in an octogenarianAli Ahmad0Halina Kusz1Mayo ClinicMichigan State UniversityEpididymo-orchitis (EO) is inflammation of the epididymis and testicles. In patients older than thirty-five years, it is commonly due to coliform or uropathogenic organisms, whereas younger adults are prone to sexually transmitted infections. We present a relatively infrequent case of gonococcal EO in an octogenarian. This case describes a geriatric male who presented to the emergency department in septic shock. His history was notable for prostate cancer, urinary incontinence and multiple sexual partners. He endorsed perineal pain, localized tenderness with chills and dysuria, and was eventually diagnosed with bilateral EO and hydroceles on repeat ultrasound. PCR was positive for N. gonorrhea. His symptoms responded well to fluid resuscitation and antimicrobial therapy. This case demonstrates that EO secondary to sexually transmitted infections is an important consideration in even the oldest old. It is therefore imperative to obtain a detailed sexual history and identify high-risk sexual behaviors in this population.http://dx.doi.org/10.1080/20009666.2020.1774253epididymitisorchitisgonorrheageriatrics |
| spellingShingle | Ali Ahmad Halina Kusz Gonococcal epididymo-orchitis in an octogenarian Journal of Community Hospital Internal Medicine Perspectives epididymitis orchitis gonorrhea geriatrics |
| title | Gonococcal epididymo-orchitis in an octogenarian |
| title_full | Gonococcal epididymo-orchitis in an octogenarian |
| title_fullStr | Gonococcal epididymo-orchitis in an octogenarian |
| title_full_unstemmed | Gonococcal epididymo-orchitis in an octogenarian |
| title_short | Gonococcal epididymo-orchitis in an octogenarian |
| title_sort | gonococcal epididymo orchitis in an octogenarian |
| topic | epididymitis orchitis gonorrhea geriatrics |
| url | http://dx.doi.org/10.1080/20009666.2020.1774253 |
| work_keys_str_mv | AT aliahmad gonococcalepididymoorchitisinanoctogenarian AT halinakusz gonococcalepididymoorchitisinanoctogenarian |