Key result
A teenage male presented with a rare combination of systemic illness, testicular swelling, pneumonia, and septicaemia as a consequence of right-sided Staphylococcus aureus endocarditis.
Case Report (n=1)
Right-sided bacterial endocarditis can present atypically with testicular swelling and systemic illness, emphasizing the importance of echocardiography in unusual systemic infections.
Supports echocardiography consideration in septic adolescents with testicular swelling; single case leaves open broader diagnostic protocols.
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.
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Muthukumaran et al. (2005) conducted a case report in Right-sided bacterial endocarditis (n=1). Right-sided bacterial endocarditis was evaluated. A teenage male presented with a rare combination of systemic illness, testicular swelling, pneumonia, and septicaemia as a consequence of right-sided Staphylococcus aureus endocarditis.
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