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Non-tender recurrent scrotal cellulitis
  1. Jithma P Abeykoon1,
  2. Jonas Paludo2,
  3. Mark Enzler3
  1. 1Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
  2. 2Division of Hematology/Oncology, Mayo Clinic, Rochester, Minnesota, USA
  3. 3Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr Mark Enzler, Division of Infectious Diseases, Mayo Clinic College of Medicine, Rochester, MN 55905, USA; enzler.mark{at}

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A 45-year-old man with a medical history of diabetes mellitus, dilated cardiomyopathy and obstructive sleep apnoea was hospitalised with recurrent scrotal cellulitis. He had been hospitalised twice within the past 3 months with scrotal oedema and cellulitis, which were managed with antibiotics and diuretics. The physical exam on the current admission was notable for an erythematous, non-tender, warm, indurated skin of the scrotum with a ‘peau d’orange’ appearance (figure 1A) and umbilicated skin …

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