Document 0493
 DOCN  M9440493
 TI    Suppurative epididymo-orchitis in young high risk patients--a new
       problem?
 DT    9404
 AU    Parr NJ; Prasad BR; Hayhurst V; McMillan A; Leen CS; Fowler JW;
       Department of Urology, Western General Hospital, Edinburgh.
 SO    Br J Urol. 1993 Dec;72(6):949-51. Unique Identifier : AIDSLINE
       MED/94138747
 AB    During a 4-year period we have treated 3 young patients with severe
       epididymo-orchitis which progressed to suppuration (despite treatment
       with a range of antibiotics) and necessitated orchiectomy. All gave a
       history of high risk activity (2 homosexual, 1 sexual partner of
       intravenous drug user). One patient was suffering from acquired immune
       deficiency syndrome and another presented during seroconversion to
       HIV-positive status. Cytomegalovirus was the infective organism in one
       patient, but the pathogenesis in the others remains obscure.
       Investigations for atypical pathogens should be performed when young
       patients present with refractory epididymo-orchitis. These patients
       should also be counselled with regard to HIV testing.
 DE    Adult  AIDS-Related Opportunistic Infections/COMPLICATIONS  Case Report
       Cytomegalovirus Infections/COMPLICATIONS
       Epididymitis/*COMPLICATIONS/MICROBIOLOGY  Human  HIV
       Infections/*COMPLICATIONS  Male  Orchitis/*COMPLICATIONS/MICROBIOLOGY
       Suppuration  JOURNAL ARTICLE

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