Table 1.
Reports of testicular infarction following bacterial epididymoorchitis
| Publication | Age | Medical history | Prior episodes* | Urine culture | Histopathology¥ | Antibiotics used (in order of use) | Antibiotic duration |
|---|---|---|---|---|---|---|---|
| Farber et al., 20135 | 58 | Diabetes mellitus | No | Escherichia coli | Indurated epididymis with infarcted testis. | Cef (IM), D (PO), L (IV), A (IV), G (IV), Ce (IV), Cef (IV) | 6 weeks |
| Chin et al., 19988 | 42 | Nil | No | Nil growth | Extensive thrombosis involving numerous dilated veins with concurrent epididymitis. | Not specified | Not specified |
| Eisner et al., 19919 | 65 | Unknown | No | Pseudomonas aeruginosa | Bilateral infarcted testes with marked fibrosis. Extensive vascular thromboses involving numerous veins and arteries. | A (IV), G (IV), Cip (PO), T (IV) | At least 2 weeks |
| Yusuf et al., 20131 | 55 | Colorectal cancer | No | Escherichia coli | Global ischemia with adjacent inflammatory change and multiple microabscesses. | Not specified | Not specified |
| Yusuf et al., 20131 | 64 | Diabetes mellitus Ischemic Heart Disease Hypertension | No | Not specified | Inflamed epididymis, multiple microabscesses and global testicular infarction. Thickened testicular vessels secondary to occlusion. | Not specified | At least 1 week |
| Sue et al., 19982 | 43 | Hepatitis C | No | Nil growth | Hemorrhagic necrotic infarction and chronic inflammation. | Cef (IV), G (IV). Q (PO), D (PO) | Not specified |
| Marks et al., 200910 | 50 | Nil | No | Escherichia coli | Acute and chronic epididymo-orchitis with hemorrhage and necrosis. Candida albicans grew on tissue culture. | Not specified | Not specified |
*
Episodes of epididymoorchitis.
¥
Confirmed on histopathology +/− abscess. Cef: ceftriaxone; Cip: ciprofloxacin; G: gentamicin; D: doxycyline; A: ampicillin; T: tobramycin; Ce: cefuroxime; L: levofloxacin; IM: intramuscular; IV: intravenous; PO: oral.