Epididymo-orchitis and testicular abscess due to Nocardia asteroides complex

Jonathan C. Routh, Garrett H. Lischer, Bradley C. Leibovich

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Nocardia asteroides complex is a rare human pathogen chiefly affecting immunosuppressed patients. We present the sixth case of epididymo-orchitis attributable to this organism. A 78-year-old man presented to the Mayo Clinic with fever and weight loss after being treated with cyclophosphamide and prednisone for an immune-mediated vasculitis. He was found to have a testicular abscess, and orchiectomy was performed. N. asteroides complex was identified on the wound cultures. Sulfa therapy was begun. In previous case reports, this condition carried a 50% mortality rate. Patients who survive seemed to benefit from aggressive surgical debridement and long-term sulfa therapy.

Original languageEnglish (US)
Pages (from-to)591.e4-591.e5
JournalUrology
Volume65
Issue number3
DOIs
StatePublished - Mar 2005

ASJC Scopus subject areas

  • Urology

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