November 1975

Scrotal Mass in a Neonate: Testicular Abscess

Author Affiliations

Department of Pediatrics Medical College of Virginia Health Sciences Division Virginia Commonwealth University Richmond, VA 23298

Am J Dis Child. 1975;129(11):1361-1362. doi:10.1001/archpedi.1975.02120480071020

We would like to report the case of an infant found to have epididymoorchitis and a testicular abscess.

Report of a Case.—A 2,600-gm (5.7-lb) infant born by low forceps to a 16-year-old, VDRL-negative primigravida appeared normal at birth. Circumcision was performed on the second day of life, and the genitalia were observed to be normal. On the third day of life the infant fed poorly and became visibly jaundiced. A distended abdomen with active bowel sounds and periumbilical erythema without discharge were noted.

Suspecting sepsis, blood, urine, and cerebrospinal fluid cultures were obtained, and the infant was treated intravenously with antibiotics. The following day the blood culture yielded a Gram-negative rod, later identified as Escherichia coli.

On the 14th day of life, a firm, tender mass measuring 2 cm in diameter was found in the right scrotum. The mass, which seemed to include the right testicle, was not erythematous

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