Case 1 Case presentation A six-month-old male infant was brought to the pediatric emergency department with two days of scrotal swelling and erythema extending from the right groin to the scrotum (Figure 1A), along with irritability and fever (38.4℃). Figure 1 : A: Scrotal swelling and erythema extending from the right groin to the scrotum; B: Scrotal ultrasound image; C: Voiding cystourethrography (See the explanation).
Source: Cureus Laboratory findings C-reactive protein (CRP): 1.93 mg/dL WBC: 22,000/mL Scrotal ultrasonography (Figure 1B) Enlargement of the epididymis on the inferior side of the testis No patent processus vaginalis Urinalysis Pyuria (WBC: 65/mL) Initial management IV cefmetazole for four days Gradual resolution of fever and right scrotal swelling Cultures Blood: Negative Urine: Positive for Escherichia coli (1x10 5 ) Urological ultrasound (Day 4 of hospitalization)…
