ABSTRACT
Resumen Haemophilus parainfluenzae forma parte de la microbiota normal de la cavidad oral y del tracto respiratorio superior. Es un reconocido agente causal de endocarditis y, con menor frecuencia, de enfermedades como neumonía, sepsis, osteomielitis, celulitis, meningitis y gastroenteritis aguda. Aquí se presenta un caso de orquiepididimitis en un joven adulto donde H. parainfluenzae, confirmado por espectrometría de masas (MALDI-TOF MS), fue el único patógeno detectado. Este caso contribuye a valorar el rol de H. parainfluenzae como patógeno humano, aislado a partir de sitios diferentes del torrente sanguíneo y las vías respiratorias.
Abstract Haemophilus parainfluenzae is part of the normal microbiota of the oral cavity and the upper respiratory tract. It is a recognised causal agent of endocarditis and, less frequently, of diseases such as pneumonia, sepsis, osteomyelitis, cellulitis, meningitis, and acute gastroenteritis. A case of orchiepididymitis in a young adult is reported, where H. parainfluenzae, confirmed by mass spectrometry (MALDI-TOF MS), was the only pathogen detected. This case contributes to assess the role of H. parainfluenzae as a human pathogen, isolated from sites other than the bloodstream and the respiratory tract.
Resumo Haemophilus parainfluenzae faz parte da microbiota normal da cavidade oral e do trato respiratório superior. É um reconhecido agente causal de endocardite e, menos frequentemente, de doenças como pneumonia, sepse, osteomielite, celulite, meningite e gastroenterite aguda. Aqui é relatado um caso de orquiepididimite em um adulto jovem onde H. parainfluenzae, confirmado por espectrometria de massa (MALDI-TOF MS), foi o único patógeno detectado. Este caso contribui para avaliar o papel do H. parainfluenzae como patógeno humano, isolado de outros locais que não sejam a corrente sanguínea e o trato respiratório.
ABSTRACT
ABSTRACT Tuberculosis (TB) is one of the leading causes of death by infectious diseases worldwide. Multidrug-resistant tuberculosis is a growing problem, especially in countries with high TB prevalence. Although the lungs are the organs most frequently affected by this disease, Mycobacterium tuberculosis can harm any organ, including the urogenital tract, causing extrapulmonary tuberculosis, which leads to a challenging diagnosis and consequent treatment delays. In this article, we present a case of orchiepididymitis caused by multidrug-resistant TB (MDR-TB) with a significantly delayed diagnosis, the proposed treatment according to the resistance profile, and the clinical outcomes.
ABSTRACT
A 66-year-old man presented with asymptomatic right testicular swelling. He was known to be infected with HIV and was non-adherent to treatment. He was recently treated for nasal leishmaniasis. Surgical drainage was performed and eventually, an orchiectomy was required. A post-mortem diagnosis was made of disseminated histoplasmosis. Testicular infection due to H. capsulatum is rare, with only a few cases being reported. Here we present a case of testicular histoplasmosis, followed by a literature review.
ABSTRACT
RESUMEN El síndrome de escroto agudo es una urgencia quirúrgica, que si no se hace una evolución adecuada y existen demoras en el diagnostico puede el paciente tener daños irreversibles en la viabilidad testicular. Se presenta la Guía de Práctica Clínica sobre el síndrome de escroto agudo con el objetivo de hacer una actualización sobre el tema y proporcionar un instrumento asistencial y docente en los servicios de cirugía pediátrica del país. Varias enfermedades pueden ser la causa de aparición del síndrome de escroto agudo, entre ellas, la torsión testicular, la torsión de hidátides testiculares y la orquiepididimitis. El síntoma fundamental es el dolor testicular y requiere generalmente tratamiento quirúrgico. El tratamiento oportuno de estos pacientes evita complicaciones como la necesidad de orquiectomia, la esterilidad y reincorpora más rápidamente al paciente a su actividad social.
ABSTRACT Acute scrotum syndrome is a surgical emergency, which if an adequate evolution is not made and there are delays in the diagnosis, the patient can have irreversible damage in the testicular viability. The Clinical Practice Guidelines on acute scrotum syndrome is presented with the aim of updating the subject and providing a care and teaching instrument in the pediatric surgery services of the country. Several diseases can be the cause of the onset of acute scrotum syndrome, including testicular torsion, testicular hydatid torsion, and orchiepididymitis. The fundamental symptom is testicular pain and usually requires surgical treatment. The timely treatment of these patients avoids complications such as the need for orchiectomy, sterility, and that way the patient is more quickly reincorporated into his social activity.
ABSTRACT
Sumary The identification of a escrotal mass without pain or report of trauma should be investigated to rule out scrotal cancer. We report the case of a young Brazilian boy who underwent orchiectomy after magnetic resonance imaging (MRI) and duplex scan (DS) indicating a high possibility of cancer. Blood exams ruled out the possibility of cancer. Testicular biopsy was not indicated. After surgery the diagnostic was extensive orchiepididymitis by Schistosoma. In endemic areas orchiepididymis by Schistosoma should be investigate to avoid unnecessary surgeries. This patient was also infected with Zika virus.
Resumo A identificação de massa escrotal sem relato de dor ou trauma deve ser investigada a fim de afastar a possibilidade de câncer escrotal. O artigo reporta o caso de um jovem brasileiro que apresentou massa escrotal com essas características. Ressonância nuclear magnética (RNM) e ultrassonografia (US) indicaram grande possibilidade de câncer. Os marcadores tumorais sanguíneos estavam normais, e a biópsia não poderia ser realizada. O resultado anatomopatológico diagnosticou extensa fibrose esquistossomótica, associada a quadro clínico e sorológico de Zika vírus concomitantemente. Em regiões endêmicas, pacientes com alterações escrotais devem ser pesquisados a fim de evitar cirurgias desnecessárias.
Subject(s)
Humans , Animals , Male , Testicular Diseases/parasitology , Testicular Diseases/virology , Schistosomiasis mansoni/complications , Zika Virus Infection , Testicular Diseases/diagnosis , Schistosomiasis mansoni/diagnosis , Zika Virus Infection/diagnosisABSTRACT
Objetivo: analizar los pacientes tratados por escroto agudo en el Hospital Provincial Pediátrico Docente Eliseo Noel Caamaño, de Matanzas. Pacientes y métodos: entre enero del 2000 al 2010, ingresaron 96 pacientes con escroto agudo, de los cuales 54 fueron diagnosticados de torsión testicular, 26 de torsión de hidátide de Morgagni, 13 de orquiepididimitis aguda asociadas a trauma o no, y 3 de edema escrotal. Resultados: la mayor incidencia fue en la primera década de la vida. En el estudio analizado la torsión testicular fue la primera causa, seguida de la torsión de la hidátide. Conclusiones: los pacientes portadores de estas dos causas de escroto agudo deben ser sometidos a tratamiento quirúrgico lo más urgente posible.
Objective: Analyzing the patients treated for acute scrotum at the Teaching Pediatric Provincial Hospital Eliseo Noel Caamaño, of Matanzas. Patients: From January 2000 to 2010, 96 patients entered the hospital with acute scrotum; 54 of them were diagnosed as testicular torsion, 26 as torsion of Morgagni hydatid, 13 as acute orchiepidydimitis associated to trauma or not, and 3 of scrotal edema. Results: The higher incidence was in the first decade of life. In the analyzed study the testicular torsion was the first cause, followed by the hydatid torsion. Conclusions: the patients who have these two causes of acute scrotum should be objects of surgical treatment as urgent as possible.