Mycobacterium marinum epididymoorchitis: case report and literature review

Urol Int. 2011;87(1):120-4. doi: 10.1159/000328220. Epub 2011 Jul 2.

Abstract

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Arthritis, Infectious / diagnosis
  • Arthritis, Infectious / drug therapy
  • Arthritis, Infectious / microbiology*
  • 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

Substances

  • Anti-Bacterial Agents
  • Immunosuppressive Agents
  • Methylprednisolone

Supplementary concepts

  • Infection with Mycobacterium marinum