医学
2型糖尿病
附睾炎
外科
卡格列净
光滑假丝酵母
左氧氟沙星
2型糖尿病
睾丸炎
阴囊
二甲双胍
糖尿病
达帕格列嗪
内科学
泌尿科
胃肠病学
胰岛素
皮肤病科
抗生素
内分泌学
抗真菌
微生物学
生物
作者
Rahul Mishra,Ghada Elshimy,Lakshmi Kannan,Rishi Raj
出处
期刊:Case Reports
[BMJ]
日期:2022-07-01
卷期号:15 (7): e250942-e250942
被引量:1
标识
DOI:10.1136/bcr-2022-250942
摘要
A man in his late 50s, with uncontrolled type 2 diabetes mellitus (T2DM) and morbid obesity, presented to the hospital with complicated epididymo-orchitis. The onset of symptoms (scrotal pain, erythema and swelling) occurred after the use of empagliflozin, a sodium-glucose cotransporter 2 (SGLT2) inhibitor, for 2 months. His baseline antidiabetic medications were insulin, glipizide and metformin. Initially, he had failed treatment of epididymo-orchitis with oral levofloxacin for 3 weeks, followed by 2 weeks of doxycycline therapy. At the presentation to the hospital, an ultrasound of the scrotum revealed scrotal and right testicular abscess. The patient underwent right inguinal orchiectomy. Postoperatively, pus culture was positive for
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