male, 22, symptoms started with headache, sore neck, painful lump behind 1 ear and 2 painful lumps of back of head, one on each side, small itchy rash on forearms. Was diagnosed with sinus infection and sent home with a cephalosporin. within the next 2 days itchy rash spread over entire front and back of body in addition to arms. Next day he is now experiencing severe pain in swollen testicle that radiates up into his abdomen. He is also an uncontrolled type 1 diabetic. Went to ER, testicle was ultrasounded and diagnosis was epididmyisis (sp) given shot of rocephin and antibiotics and sent home. Now has more lumps forming on back of head.