<i>Escherichia coli</i>Bacteremia, Epididymo-Orchitis, and Scrotal Abscess in a Neonate

Stark, Julie; Bellman, Lilly A.; Kamel, Sarah H.; Whittam, Benjamin; Christenson, John C.; Webber, Emily C.

doi:10.1093/jpids/pis057

Cited by 3 publications

(1 citation statement)

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“…14 15 Abscess due to E. coli, as was the case here, appears extremely rare, with only four reported cases in the literature. [16][17][18][19] Even if the testicle appears severely inflamed, necrosis is rare and the testicle can usually be salvaged. 20 The postoperative course in our case was uncomplicated and the patient completed treatment without sequelae.…”

Section: Discussionmentioning

confidence: 99%

NeonatalEscherichia coliinfection in twins: clinical spectrum and management dilemma

et al. 2021

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The clinical manifestation of Escherichia coli could vary from asymptomatic bacteraemia to systemic bloodstream infection and meningitis. We describe an unusual course of E. coli infection in twins, emphasising commencement of appropriate antimicrobial therapy. A set of male dichorionic diamniotic twins were delivered at 34 weeks of gestation by caesarian section. Pregnancy was complicated by diabetes, pre-eclampsia and cholestasis. Antenatal ultrasounds noted a congenital pulmonary airway malformation in twin A. Following delivery, twin A developed respiratory distress, but twin B was asymptomatic. Partial septic work-up at admission in the neonatal intensve care unit was done. Twin A’s blood culture grew E. coli, while twin B’s blood culture was negative. Twin A was treated with 7 days of intravenous antibiotics. At 11 days of age, twin B acutely developed a scrotal swelling. On suspicion of testicular torsion, he was taken for urgent surgery, which revealed a scrotal abscess positive for E. coli. The scrotum was irrigated and successfully treated with 4 weeks of antibiotics. Both twins were doing well at 3 months of follow-up.

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