Epididymo-orchitis and testicular abscess due to Nocardia asteroides complex

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

Research output: Contribution to journalArticle

7 Citations (Scopus)

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)
JournalUrology
Volume65
Issue number3
DOIs
StatePublished - Mar 2005

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Nocardia asteroides
Orchitis
Abscess
Orchiectomy
Debridement
Vasculitis
Prednisone
Cyclophosphamide
Weight Loss
Fever
Mortality
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Urology

Cite this

Epididymo-orchitis and testicular abscess due to Nocardia asteroides complex. / Routh, Jonathan C.; Lischer, Garrett H.; Leibovich, Bradley C.

In: Urology, Vol. 65, No. 3, 03.2005.

Research output: Contribution to journalArticle

Routh, Jonathan C. ; Lischer, Garrett H. ; Leibovich, Bradley C. / Epididymo-orchitis and testicular abscess due to Nocardia asteroides complex. In: Urology. 2005 ; Vol. 65, No. 3.
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