Epididymo-orchitis and testicular abscess due to Nocardia asteroides complex.

Journal Article (Journal Article;Review)

Nocardia asteroides complex is a rare human pathogen chiefly affecting immunosuppressed patients. We present the sixth case of epididymo-orchitis attributable to this organism. A 78-year-old man presented to the Mayo Clinic with fever and weight loss after being treated with cyclophosphamide and prednisone for an immune-mediated vasculitis. He was found to have a testicular abscess, and orchiectomy was performed. N. asteroides complex was identified on the wound cultures. Sulfa therapy was begun. In previous case reports, this condition carried a 50% mortality rate. Patients who survive seemed to benefit from aggressive surgical debridement and long-term sulfa therapy.

Full Text

Duke Authors

Cited Authors

  • Routh, JC; Lischer, GH; Leibovich, BC

Published Date

  • March 2005

Published In

Volume / Issue

  • 65 / 3

Start / End Page

  • 591 -

PubMed ID

  • 15780388

Electronic International Standard Serial Number (EISSN)

  • 1527-9995

Digital Object Identifier (DOI)

  • 10.1016/j.urology.2004.09.008


  • eng

Conference Location

  • United States