Unusual Finding in a Boy with Recurrent Epididymo-Orchitis and Normal External Genitalia

A 1-year-old boy with Down syndrome presented to the emergency department due to his third episode of epididymo-orchitis (EO). He was previously treated with trimethoprim-sulfamethoxazole. His parents reported irritability, fever, and inflammation of the right testis. Scrotal examination revealed an enlarged, tender right testicle without overlying skin changes, hypospadias, or cryptorchidism. Testicular ultrasound showed signs suggestive of right EO, and urine culture was positive for Pseudomonas Aeruginosa.

Source: Urology - March 6, 2024 Category: Urology & Nephrology Authors: Julio C ésar Moreno-Alfonso, María San Basilio Berenguer, Borja Nava, Virginia Amesty, Roberto Lobato, María José Martínez Urrutia, Pedro López Pereira, Susana Rivas Vila Source Type: research