SUPPURATIVE EPIDIDYMO-ORCHITIS LEADING TO UROSEPSIS

           A 55 y male , Diabetic and hypertensive, presented with high grade fever and left scrotal pain and features of frank sepsis. On evaluation he had left suppurative epididymorchitis with urosepsis, he was started on broad spectrum antibiotics ( Meropenem - later converted to colistin + sulbactum, i/v/o clinical and biochemical deterioration). As there was no much response with just antibiotics, left orchidectomy was done. There was dramatic improvement in his clinical status. Hence there should be a low threshold in deciding for orchidectomy in such cases and be proactive for surgical intervention, to prevent clinical deterioration. 

USG DOPPLER SCROTUM REVEALING INCREASED VASCULARITY,DIFFUSE SKIN AND SUBCUTANEOUS OEDEMA AND HYDROCELE

TENDER AND SWOLLEN LEFT TESTIS