Filarial Epididymitis: A Diagnostic Challenge in Pediatric Acute Scrotum
2024

Filarial Epididymitis in a Child with Acute Scrotum

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Thankachan Jithu, Mohandas Neeraj V, PR Venugopal, Lakshmi R S Akhila, Biji Philip Meghna

Primary Institution: Mount Zion Medical College Hospital, Adoor, IND

Conclusion

Surgical intervention is crucial for diagnosing and managing filarial epididymitis, especially when conservative treatment fails.

Supporting Evidence

  • The patient presented with symptoms of acute scrotum and was initially misdiagnosed.
  • Surgical exploration revealed filarial epididymitis after conservative treatment failed.
  • Histopathology confirmed the presence of filarial worms in the cystic lesion.

Takeaway

A boy had a painful swollen scrotum, and after trying medicine that didn't work, doctors had to do surgery to find out he had a rare infection caused by worms.

Methodology

The case involved a clinical examination, ultrasound imaging, conservative treatment, and surgical exploration with histopathological analysis.

Limitations

The rarity of genital filariasis makes preoperative diagnosis challenging, and the absence of specific clinical signs complicates management.

Participant Demographics

An 11-year-old boy from Kerala, India.

Digital Object Identifier (DOI)

10.7759/cureus.74534

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