A case of testicular seminoma with testicular abscess caused by Salmonella saintpaul

Testicular abscesses are rarer than epididymitis and orchitis. Here, we report a case of testicular seminoma with testicular abscess caused by Salmonella saintpaul. A 41-year-old male was referred for painful enlargement of the right scrotal content and fever for 1 week. With the diagnosis of epididymitis, he was administered levofloxacin (LVFX) but the fever and painful enlargement persisted. Because of the poor response to antimicrobial agents and the undeniable complications of testicular malignancy, radical orchiectomy was performed. The testis was enlarged to 7 cm, weighed approximately 100 g, and was filled with pus. A substantial portion of the tumor was seminoma, and pus culture revealed Salmonella saintpaul. Although testicular tumors are the most common differential diseases for testicular abscess, there are few reports of testicular abscess accompanying testicular tumors. Here, we report a case of testicular seminoma with testicular abscess caused by Salmonella saintpaul.