Haemophilus influenzae urethritis and orchiepididymitis: A case report
Background: Mainly known as a cause of pulmonary infections or meningitis, Haemophilus influenzae has rarely been described as an etiology of urinary tract infections and even less as a cause of orchitis or epididymitis. Case report: This paper describes a rare case of a patient who presented to our...
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Elsevier
2024-12-01
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| Series: | JEM Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773232024000506 |
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| author | Mohammad Razban |
| author_facet | Mohammad Razban |
| author_sort | Mohammad Razban |
| collection | DOAJ |
| description | Background: Mainly known as a cause of pulmonary infections or meningitis, Haemophilus influenzae has rarely been described as an etiology of urinary tract infections and even less as a cause of orchitis or epididymitis. Case report: This paper describes a rare case of a patient who presented to our emergency department with urethral discharge, swelling of the right testicle, and fever consistent with a diagnosis of urethritis and orchepididymitis. Initially, we suspected a sexually transmitted disease such as chlamydia or gonorrhea. However, the urethral smear and urine culture revealed the presence of Haemophilus influenzae as the causative agent. A first therapy with Ceftriaxone and Azithromycin followed by doxycycline did not completely resolve symptoms. A new course of antibiotherapy with Ciprofloxacin led to complete remission. Why should an emergency physician be aware of this?: Haemophilus influenzae can occasionally present with urethral discharge and symptoms of orchiepididymitis similar to those of a sexually transmitted disease. It is crucial for physicians to remember that this pathogen also causes genitourinary tract infections, given that most strains are resistant to Azithromycin. Consequently, they should adapt antibiotic therapy and investigations accordingly in these cases. |
| format | Article |
| id | doaj-art-15136539dd7f44dd8e5ddd68b2554635 |
| institution | OA Journals |
| issn | 2773-2320 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | JEM Reports |
| spelling | doaj-art-15136539dd7f44dd8e5ddd68b25546352025-08-20T02:27:46ZengElsevierJEM Reports2773-23202024-12-013410012010.1016/j.jemrpt.2024.100120Haemophilus influenzae urethritis and orchiepididymitis: A case reportMohammad Razban0Reseau Hospitalier Neuchatelois, Department of Emergency Medicine, Neuchatel, Route de Villars 28, 1700, Fribourg, SwitzerlandBackground: Mainly known as a cause of pulmonary infections or meningitis, Haemophilus influenzae has rarely been described as an etiology of urinary tract infections and even less as a cause of orchitis or epididymitis. Case report: This paper describes a rare case of a patient who presented to our emergency department with urethral discharge, swelling of the right testicle, and fever consistent with a diagnosis of urethritis and orchepididymitis. Initially, we suspected a sexually transmitted disease such as chlamydia or gonorrhea. However, the urethral smear and urine culture revealed the presence of Haemophilus influenzae as the causative agent. A first therapy with Ceftriaxone and Azithromycin followed by doxycycline did not completely resolve symptoms. A new course of antibiotherapy with Ciprofloxacin led to complete remission. Why should an emergency physician be aware of this?: Haemophilus influenzae can occasionally present with urethral discharge and symptoms of orchiepididymitis similar to those of a sexually transmitted disease. It is crucial for physicians to remember that this pathogen also causes genitourinary tract infections, given that most strains are resistant to Azithromycin. Consequently, they should adapt antibiotic therapy and investigations accordingly in these cases.http://www.sciencedirect.com/science/article/pii/S2773232024000506InfectionHaemophilus influenzaeOrchitisEpididymitisCase report |
| spellingShingle | Mohammad Razban Haemophilus influenzae urethritis and orchiepididymitis: A case report JEM Reports Infection Haemophilus influenzae Orchitis Epididymitis Case report |
| title | Haemophilus influenzae urethritis and orchiepididymitis: A case report |
| title_full | Haemophilus influenzae urethritis and orchiepididymitis: A case report |
| title_fullStr | Haemophilus influenzae urethritis and orchiepididymitis: A case report |
| title_full_unstemmed | Haemophilus influenzae urethritis and orchiepididymitis: A case report |
| title_short | Haemophilus influenzae urethritis and orchiepididymitis: A case report |
| title_sort | haemophilus influenzae urethritis and orchiepididymitis a case report |
| topic | Infection Haemophilus influenzae Orchitis Epididymitis Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2773232024000506 |
| work_keys_str_mv | AT mohammadrazban haemophilusinfluenzaeurethritisandorchiepididymitisacasereport |