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Paediatrics: Orchitis and epididymitis

Orchitis is an uncommon condition in boys that presents with fever and testicular pain.

Orchitis and epididymitis

 

Orchitis

 

Orchitis is an uncommon condition in boys that presents with fever and testicular pain.

Approximately 20% of prepubertal patients with mumps develop orchitis.

Diagnosis based on a history of recent mumps or parotitis; mumps orchitis is unilateral in 70% of cases.

In 30% of cases, contralateral testicular involvement follows a few days later.

This condition is rare in post-pubertal boys.

Bacterial orchitis is usually associated with an epididymitis.

 

Epididymitis

 

Usually associated with concomitant orchitis.

In children epididymo-orchitis is usually associated with a urinary tract infection: infected urine refluxes down the vas.

Structural abnormality in the renal tract should be excluded.

Epididymo-orchitis presents with fever, urinary symptoms, and scrotal pain.

In sexually-active adolescents epididymo-orchitis may be caused by gonorrhoea or Chlamydia.

Epididymo-orchitis should be managed with antibiotics once urine has been sent for culture. Adolescents should be screened for sexually transmitted infection.

 

 

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Paediatrics: Paediatric Surgery : Paediatrics: Orchitis and epididymitis |

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