Acute epididymo-orchitis

Acute epididymo-orchitis

Usually due to Gram negative enteric bacteria (e.g. E.coli, Klebsiella, Proteus etc) in men>35 years with lower risk of STI.

If under 35 years or STI risk, refer to Sexual Health Clinic.

Send MSU (+ First Void Urine for Chlamydia/Gonorrhoea PCR if STI risk) prior to empirical antibiotics. 

 

Consider ultrasound or surgical assessment if there is little improvement on antibiotic therapy

 

Ofloxacin  

(consider safety issues)

200mg BD

14 Days

or  Doxycyline

100mg BD

14 Days