Reactions 1490, p7 - 1 Mar 2014 Amiodarone Sterile epididymitis: case report A 53-year-old man developed sterile epididymitis while receiving amiodarone. The man presented with left scrotal pain and oedema, which had been ongoing for 3 days. He had a history of hypertension and paroxysmal atrial fibrillation, and was receiving verapamil, irbesartan, aspirin and amiodarone 100mg once daily [route not stated]. He had been receiving amiodarone at the same dosage for about 17 months. Upon current examination, he had extreme sensitivity on his left epididymis. Scrotal Doppler ultrasound showed increased vascularisation in the left epididymis, suggestive of epididymal inflammation. A thyroid ultrasound scan showed tissue heterogeneity, and he started levothyroxine therapy. An ECG showed sinus rhythm with left bundle branch block, while echocardiography showed left ventricular concentric hypertrophy. The man continued amiodarone, and his pain was controlled with analgesics. His scrotal pain later decreased until he did not require analgesics. Repeated ultrasound imaging showed increased vascularity and oedema in the right epididymis and right-sided moderate hydrocele. There was no increase in vascularity in the left epididymis. Author comment: "[W]e want to present an uncommon case of sterile epididymitis due to amiodarone therapy". Cicek T, et al. Amiodarone induced epididymitis: A case report. Iranian Red Crescent Medical Journal 16: e13929 [3 pages], No. 1, Jan 2014. Available from: URL: http://doi.org/10.5812/ircmj.13929 - Turkey 803099782 1 Reactions 1 Mar 2014 No. 1490 0114-9954/14/1490-0001/$14.95 Adis © 2014 Springer International Publishing AG. All rights reserved

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Reactions 1490, p7 - 1 Mar 2014

Amiodarone

Sterile epididymitis: case reportA 53-year-old man developed sterile epididymitis while

receiving amiodarone.The man presented with left scrotal pain and oedema, which

had been ongoing for 3 days. He had a history of hypertensionand paroxysmal atrial fibrillation, and was receiving verapamil,irbesartan, aspirin and amiodarone 100mg once daily [routenot stated]. He had been receiving amiodarone at the samedosage for about 17 months. Upon current examination, hehad extreme sensitivity on his left epididymis. Scrotal Dopplerultrasound showed increased vascularisation in the leftepididymis, suggestive of epididymal inflammation. A thyroidultrasound scan showed tissue heterogeneity, and he startedlevothyroxine therapy. An ECG showed sinus rhythm with leftbundle branch block, while echocardiography showed leftventricular concentric hypertrophy.

The man continued amiodarone, and his pain was controlledwith analgesics. His scrotal pain later decreased until he didnot require analgesics. Repeated ultrasound imaging showedincreased vascularity and oedema in the right epididymis andright-sided moderate hydrocele. There was no increase invascularity in the left epididymis.

Author comment: "[W]e want to present an uncommoncase of sterile epididymitis due to amiodarone therapy".Cicek T, et al. Amiodarone induced epididymitis: A case report. Iranian RedCrescent Medical Journal 16: e13929 [3 pages], No. 1, Jan 2014. Available from:URL: http://doi.org/10.5812/ircmj.13929 - Turkey 803099782