Mycobacterium marinum Epididymoorchitis: Case Report and Literature Review

Mycobacterium marinum is the most frequent non-tuberculous Mycobacterium in humans. We report the first ever described case of epididymoorchitis resulting from hematogenous spread of M. marinum from hand oligoarthritis. This was initially mistaken for rheumatoid disease and methylprednisolone-induce...

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Veröffentlicht in:	Urologia internationalis 2011-01, Vol.87 (1), p.120-124
Hauptverfasser:	Macek, P., Bodnarova, M., Zavada, J., Jezek, P., Pavlik, I., Slany, M., Havelkova, M., Stork, J., Duskova, J., Hanus, T., Kocvara, R.
Format:	Artikel
Sprache:	eng
Schlagworte:	Anti-Bacterial Agents - therapeutic use Arthritis, Infectious - diagnosis Arthritis, Infectious - drug therapy Arthritis, Infectious - microbiology Case Report Diagnostic Errors Epididymitis - diagnosis Epididymitis - drug therapy Epididymitis - microbiology Finger Injuries - complications Humans Immunosuppressive Agents - adverse effects Male Methylprednisolone - adverse effects Middle Aged Mycobacterium Infections, Nontuberculous - diagnosis Mycobacterium Infections, Nontuberculous - drug therapy Mycobacterium Infections, Nontuberculous - microbiology Mycobacterium marinum - isolation & purification Mycobacterium marinum - pathogenicity Orchitis - diagnosis Orchitis - drug therapy Orchitis - microbiology Treatment Outcome
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Zusammenfassung:	Mycobacterium marinum is the most frequent non-tuberculous Mycobacterium in humans. We report the first ever described case of epididymoorchitis resulting from hematogenous spread of M. marinum from hand oligoarthritis. This was initially mistaken for rheumatoid disease and methylprednisolone-induced immunosuppression led to hematogenous spread of infection to the testis and epididymis.
ISSN:	0042-1138 1423-0399
DOI:	10.1159/000328220