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Testicular swelling with pneumonia and septicaemia: a rare presentation of right-sided endocarditis

Published online by Cambridge University Press:  16 September 2005

Chinnasamy S. Muthukumaran ,
Poonamallee R. Govindaraj  and
Joseph Vettukattil
Chinnasamy S. Muthukumaran
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, United Kingdom
Poonamallee R. Govindaraj
Affiliation:
Department of Paediatrics, Ysbyty Gwynedd, Bangor, Wales, United Kingdom
Joseph Vettukattil
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, United Kingdom
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Abstract

As far as we are aware, right-sided bacterial endocarditis has not previously been described as presenting with systemic illness and testicular swelling. We report a teenager who presented with this unusual combination as a consequence of right-sided endocarditis. He presented with high fever, with chills and rigor, along with painful enlargement of the left testicle, a productive cough with progressive breathlessness, and joint pains. His blood culture was positive for Staphylococcus aureus, and a computerised tomographic scan of the chest revealed multiple pulmonary emboluses. Ultrasound of the testicles showed features of inflammation, and an echocardiogram revealed a vegetation on the tricuspid valve.

Keywords

Tricuspid valveStaphylococcus aureusvegetation
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 5 , October 2005 , pp. 532 - 533
Copyright
© 2005 Cambridge University Press

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