Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
Campylobacter jejuni enterocolitis presenting with testicular pain: A case report
Masahiro Sanagawa, Tsuneaki Kenzaka, Sayaka Kato, Ichiko Yamaoka, Shouichi Fujimoto
Masahiro Sanagawa, Sayaka Kato, Department of Internal Medicine, Miyazaki Seikyo Hospital, Miyazaki 880-0824, Japan
Tsuneaki Kenzaka, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Hyogo 669-3495, Japan
Tsuneaki Kenzaka, Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, Hyogo 652-0032, Japan
Ichiko Yamaoka, Department of General Surgery, Miyazaki Seikyo Hospital, Miyazaki 880-0824, Japan
Shouichi Fujimoto, Department of Hemovascular Medicine and Artificial Organs, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan
Author contributions: Sanagawa M managed the case and edited the manuscript. Kenzaka T assisted with the editing and correcting of the manuscript; Sanagawa M, Kenzaka T, Kato S, Yamaoka I, and Fujimoto S read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Masahiro Sanagawa, MD, Doctor, Department of Internal Medicine, Miyazaki Seikyo Hospital, 1171 Tenjinmae, Oshima-cho, Miyazaki 880-0824, Japan. msa440u@yahoo.co.jp
Received: March 15, 2020
Peer-review started: March 15, 2020
First decision: April 7, 2020
Revised: April 23, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 6, 2020
BACKGROUND
Common symptoms of Campylobacter colitis include abdominal pain, vomiting, diarrhea, and fever, among others. However, Campylobacter colitis also has a high incidence of extraintestinal symptoms.
CASE SUMMARY
We report the case of a 51-year-old man who presented with bilateral testicular pain. A scrotal examination failed to reveal any physical findings, but the patient exhibited mild tenderness in the right lower abdomen. Computed tomography revealed ileocecal wall thickening. Post-admission, the patient developed diarrhea, and a stool culture was submitted; Campylobacter jejuni infection was confirmed. Testicular pain is known to be caused by appendicitis. Consequently, we suggest that Campylobacter colitis, which causes ileocecal inflammation, caused the testicular pain in this case.
CONCLUSION
In patients with testicular pain and no other objective findings, diseases such as Campylobacter colitis should be considered.
Core tip: In cases of testicular pain without other objective findings, ileocecal inflammation-causing diseases, such as Campylobacter colitis, should be considered in the differential diagnosis.
