Epididymitis and Orchitis

  A friend of mine without health insurance was just diagnosed with epididymitis and orchitis.  He initially presented with fevers, headache, blood in the urine and was told by an emergency room doctor that he had a urinary tract infection and was given a ten day dose of Bactrim.  After a day or so he developed pain and swelling in the testicles.  He then went to a free clinic and was diagnosed with epididymitis and orchitis.  He was given a shot of ceftriaxone and a gram or two of azithromycin to drink.  This was a few days ago.  Last night he had a fever of 104 degrees F. and threw up. He still has pain in the testicles.  Is the situation getting worse and should he seek additional medical attention?
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Dear Gregg,
Yes, he needs to go to the emergency room immediately.  He may have a kidney infection or even an obstructing kidney stone which may lead to a serious infection.  If the pain is all coming from the testicle, an abscess could be forming.  If an antibiotic cannot reach an infection, it can