Acute epididymo-orchitis is a common cause of ‘acute scrotum’ in adolescence and young adults, and the common causative pathogens are Chlamydia trachomatis and Neisseria gonorrhoeae. This is a rare case of acute epididymo-orchitis due to Pseudomonas aerugillosa in a pubertal boy with a history of ‘ano-receptive’ intercourse. On Medline search there are no reports of pseudomonas orchitis in this age group.
De JongZPontinnierFPlanteP. The frequency of Chlamydia trachomatis in acute epididymitis. Br J Urol1988;62:76–8
2.
ScheibelJHAndersonJJBrandenhoffP. Chlamydia trachomatis in acute epididymitis. Scand J Urol Nephrol1983;17:47–50
3.
EdelsburgJSSurhYS. The acute scrotum. Emerg Med Clin—North Am1988;6:521–46
4.
HagleyM. Epididymo-orchitis and epididymitis: A review of causes and management of unusual forms. Int J STD AIDS2003;14:372–7
5.
HumphreysHSpellerDC. Acute epididymo-orchitis caused by Pseudomonas aeruginosa and treated with ciprofloxacin. J Infect1989;19:257–61
6.
KashiwagiBOkugiHMoritaT. Acute epididymo-orchitis With abscess formation due to Pseudomonas aeruginosa: Report of 3 cases. Hinyokika Kiyo2000;46: 915–8
7.
PimpalwarAChowdharySHuskissonJCorkeryJJ. Cysts of the ejaculatory system — A treatable cause of recurrent epididymo-orchitis in children. Eur J Pediatr Surg2002;12:281–5
8.
LikitnukulSMcCrackenGHJrNelsonJDVottclerTP. Epididymitis in children and adolescents. A 20-year retrospective study. Am J Dis Childh1987;141:41–4
9.
BennettRTGillBKoganSJ. Epididymitis in children: The circumcision factor?J Urol1998;160:1842–4
10.
ParrNJPrasadBRHayhurstVMcMillanALeenCSFowlerJW. Suppurative epididymo-orchitis in young “high risk” patients — A new problem?Br J Urol1993;72:949–51
