Epididymitis is an uncommon cause of scrotal swelling in infants and children. Occasionally, this condition may be a manifestation of a more serious systemic disorder or a genitourinary anomaly; however, in most instances the cause is unknown.1 When available, histopathologic specimens from children with this condition usually show only nonspecific acute and chronic inflammatory changes. Recently, we cared for a 2½-year-old child with sarcoidosis and bilateral scrotal swelling due to granulomatous epididymitis.
Report of a Case.—A 2½-year-old boy was evaluated for fever and bilateral scrotal swelling of six weeks' duration. One year earlier, he had been hospitalized for evaluation of fever and transient arthralgia. Despite an extensive evaluation, which included multiple cultures of blood and urine, intravenous pyelogram (IVP), and a cystourethrogram made while voiding, no specific cause for his fever had been found. After discharge from the hospital, all symptoms resolved. He had normal growth and had
WEINBERG A, GINSBURG CM. Epididymal Sarcoidosis in a Prepubertal Child. Am J Dis Child. 1982;136(1):71–72. doi:10.1001/archpedi.1982.03970370073019