Dr. Khant Shahil Ramesh Bhai
Urology
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Patient's Query
Hello doctor,
I have fever of 38 to 38.5 over past seven days. Right testicle swollen for the past five days and left testicle swollen for the past four days. On IV antibiotics, Cravit and Doribax (which replaced Rochephin). C-reactive test above 231. The doctors still cannot identify the cause. Any thoughts or recommendations? I have got ultrasounds but just shows increased blood, no abscesses.
Hello,
Welcome to icliniq.com.
You are suffering from bilateral epididymo-orchitis (infection of the testis). You need to rule out any obstruction in your urine tract which might cause this. Do you have any difficulty in passing urine? Or any problem with urine flow? Get done with uroflowmery test which will rule out any urinary obstruction. If everything is fine then it is spontaneous and will resolve on its own.
Patient's Query
Thank you doctor,
No issues or pain with urine. All normal. But fever is still on and off and it has been one week. Testes are swollen and not reducing. All bacterial cultures failed so the doctors are still unsure of the cause. Do you have any additional thoughts?
Hi,
Welcome back to icliniq.com.
The last thing to rule out is filarial epididymoorchitis. You can do blood test. If that comes negative, then only you have to take empirical antibiotics.
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Urology
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