Community Associated Methicillin-Resistant Staphylococcus Aureus Causing Acute Urinary Tract Infection and Epididymo-Orchitis: A Case Report

Acute epididymitis is most commonly infectious in etiology, usually secondary to a urinary tract infection (UTI) or a sexually transmitted infections (like gonorrhea and chlamydia). Enteric gram-negative bacteria (like Escherichia coli) and coagulase-negative Staphylococcus saprophyticus are the most frequently encountered organisms associated with UTIs. Staphylococcus aureus, especially methicillin-resistant Staphylococcus aureus (MRSA), is an uncommon pathogen when considering community associated acute UTI and acute epididymitis. We present an unusual case of a 28-years-old immunocompetent male, who presented with a left scrotal swelling and was found to have acute epididymo-orchitis due to an acute MRSA UTI.