Neonatal epididymo-orchitis caused by Salmonella: A case of successful non-surgical management

Neonatal epididymo-orchitis (EO) is a rare condition, particularly when caused by S<i>almonella</i>, a pathogen typically associated with gastroenteritis. We present the case of a 15-day-old male who developed right-sided scrotal swelling and erythema. Scrotal ultrasound confirmed EO without signs of torsion or abscess. Further investigation revealed potential <i>Salmonella</i> exposure from feeding bottles, and stool PCR confirmed the diagnosis. The patient responded well to antibiotics, avoiding surgical intervention. This case highlights the rarity of <i>Salmonella</i> EO in neonates and the value of early imaging, thorough history-taking, and environmental exposure assessment in guiding conservative management and avoiding surgery.