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Volume 45, Number 4, August 2012

 Epididymo-orchitis: An unusual manifestation of salmonellosis


Neha Bansal, Neelam Kaistha, Jagdish Chander


Received: February 13, 2011    Revised: April 13, 2011    Accepted: June 2, 2011   

 

Corresponding author:

 H. Number 130, Phase-4, Mohali, Punjab 160059, India. E-mail address: drneha_bansal@yahoo.com (N. Bansal).



 

Background and purpose: 

 Salmonellosis continues to be a major public health problem, especially in developing countries. The formation of focal abscesses may occur following either hematogenous or lymphatic spread. There are large number of serious and life-threatening clinical manifestations of Salmonella spp., ranging from osteomyelitis to infective endocarditis and meningitis. However, even though Salmonella epidydimo-orchitis is a relatively rare clinical manifestion, it can present, most often in male babies and adolescent boys, following contact with nontyphoidal Salmonella. Here, we report a case of epididymo-orchitis due to Salmonella Paratyphi A that presented in an otherwise healthy 63-year-old man in order to highlight this organism’s unusual clinical presentation. In countries such as India, where Salmonella infections are endemic, a high index of suspicion should be always be maintained and the possibility of a Salmonella infection at an aberrant site where it is hardly expected should not be ruled out. 



 

Key words:

 Epididymo-orchitis; Salmonella Paratyphi A; Salmonellosis