Work

Man with scrotal pain and swelling

Year: 2024

Type: article

Abstract: A 45-year-old male with type 2 diabetes presented to the emergency department (ED) with 1 week of testicular swelling.Despite receiving multiple antibiotics for cellulitis at another ED 3 days prior, he experienced increasing pain, swelling, fever, diaphoresis, and perineal desquamation accompanied by serosanguinous discharge.Initial vital signs were stable.Physical examination revealed scrotal swelling and erythema, two draining perianal lesions, and significant tenderness to touch without crepitus.Laboratory findings included leukocytosis, hyponatremia, hyperglycemia, and elevated inflammatory markers.Point-of-care-ultrasound (POCUS) performed in the ED confirmed scrotal edema (Figure 1, Video S1) and a phlegmonous perineal area F I G U R E 1 Point-of-care-ultrasound (POCUS) image of scrotum with testes, revealing scrotal edema and bilateral hydrocele.

Source: Journal of the American College of Emergency Physicians Open

DOI: 10.1002/emp2.13289

Authors: Christopher W. Allen, Christina Liao, Christy Hill, Timothy J. Batchelor, Nicholas G. Ashenburg

Institutions: Stanford Medicine, Stanford University

Language: English

Topic: Streptococcal Infections and Treatments

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,200