The orchitis is an infection of the testicles, which typically occurs with mumps and Epididymo orchitis. The symptoms include testicular pain and swelling of the testicles. The diagnosis is made clinically. The treatment is symptomatic. If a bacterial infection is present, antibiotics are given.
An isolated orchitis (that is, the infection of the testicles) is almost always viral origin. Most cases are based on mumps. Rare causes include congenital syphilis, tuberculosis, leprosy, Echo virus, lymphocytic Chorionmeningitis, Coxsackie virus infection, infectious mononucleosis, varicella and infections with group B arboviruses. In most cases the bacterial orchitis is the result of severe bacterial epididymitis up in the testis (epididymo).
The orchitis is an infection of the testicles, which typically occurs with mumps and Epididymo orchitis. The symptoms include testicular pain and swelling of the testicles. The diagnosis is made clinically. The treatment is symptomatic. If a bacterial infection is present, antibiotics are given. An isolated orchitis (that is, the infection of the testicles) is almost always viral origin. Most cases are based on mumps. Rare causes include congenital syphilis, tuberculosis, leprosy, Echo virus, lymphocytic Chorionmeningitis, Coxsackie virus infection, infectious mononucleosis, varicella and infections with group B arboviruses. In most cases the bacterial orchitis is the result of severe bacterial epididymitis up in the testis (epididymo). Orchitis develops in 20-25% of men with mumps. 80% of cases occur <10 years in patients. Two-thirds of cases are unilateral and one-third bilateral. 60% of patients with mumps orchitis develop testicular atrophy in at least one testicle. Atrophy not correlate with the fertility or severity of orchitis. Fertility is reduced by a unilateral disease in a quarter of men and one-sided disease in two-thirds of those affected. Symptoms and signs A unilateral Mumpsorchitis acutely develops within 4-7 days after swelling of the parotid mumps. In 30% of cases the disease jumps over to the other testicular within 1-9 days. The pain can be of any thickness. In addition to pain and swelling of the testicles systemic symptoms such as malaise, fever, nausea, headache and myalgia may occur. Testicular examination reveals tenderness, enlargement and induration of the testis, as well as edema and erythema of the scrotal skin. Other infectious agents cause similar symptoms. Onset and intensity correspond to the pathogenicity of the pathogen. Diagnosis Clinical evaluation and selective tests color Doppler sonography to rule out other causes of acute scrotum history and physical examination usually lead to the diagnosis of orchitis. The urgent distinction between orchitis and tHodentorsion and other causes of acute testicular swelling and pain by means of color Doppler sonography (n. D. Ed .: respect. Problem of the color-coded duplex sonography s. O.). Mumps can be secured by a Immunofluoreszenzantikörperbestimmung in serum. Other infectious causes can be identified by urine culture or serology. Therapy analgesics measurements antibiotics for bacterial infection of supportive treatment with analgesics and hot or cold compresses is sufficient if a bacterial infection was excluded. Bacterial infections (usually cause epididymo) are treated with appropriate antibiotics. A urological follow-up is recommended. (N. D. Talk .: The Mumpsorchitis is treated s.c. with analgesics, NSAIDs and interferon.)