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Urology (Expert Forum)
Epididymitis and Orchitis
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Epididymitis and Orchitis
by Greg-Gonsalves, Aug 28, 1998 12:00AM
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’t treat an infection. He maybe taking an antibiotic to which the bacteria he has growing are resistant. Continue taking the antibiotics he was given but go see a doctor immediately.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword: Epididymitis
