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Acute Epididymitis


Presentation

  • At present this can only be achieved by submitting all young men with acute epididymitis to full microbiological investigation.[ncbi.nlm.nih.gov]
  • OBJECTIVES: To evaluate the incidence of urinary tract infection (UTI) and genitourinary malformations in children presenting with acute epididymitis.[ncbi.nlm.nih.gov]
  • Abstract The aetiology of acute epididymitis presenting to a surgical unit in a District General Hospital is presented.[ncbi.nlm.nih.gov]
  • RESULTS: At first presentation, 61 patients (45.5%) had hydrocele, 63 (47.0%) concomitant orchitis, and 8 (5.9%) epididymal abscess.[ncbi.nlm.nih.gov]
  • The aim of the present study was to determine the prevalence of these microorganisms in men with acute epididymitis.[ncbi.nlm.nih.gov]
Fever
  • A 74-year-old Japanese man was admitted to our hospital due to repeated right scrotal swelling and high fever with pneumaturia. A diagnosis of the right acute epididymitis was made.[ncbi.nlm.nih.gov]
  • Patients presented with an acute scrotum and documented ipsilateral testicular/epididymal hyperemia on Doppler ultrasound plus any 2 of the following criteria: (1) high-grade fever (higher than 38.5 degrees C), (2) peripheral leukocytosis, (3) pyuria[ncbi.nlm.nih.gov]
  • Infection of the Salivary and Lacrimal Glands 65 10 Deep Neck Infections 73 PART III 77 11 Conjunctivitis 79 12 Keratitis 87 Keratitis Isolates 19932006 88 13 Iritis 97 14 Retinitis 103 15 Endophthalmitis 109 16 Periocular Infections 117 PART IV 121 17 Fever[books.google.de]
  • On the 14th day, fever, pain and swelling had disappeared in 8 cases (in 2 cases on the 7th day). The efficacy on the 14th day was further investigated compared to that on the 7th day.[ncbi.nlm.nih.gov]
  • Patient characteristics including older age, previous history of diabetes mellitus and fever, as well as laboratory data including a higher white blood cell count, C-reactive protein level and blood urea nitrogen level were independently associated with[keio.pure.elsevier.com]
Hypertrophic Pyloric Stenosis
  • Pyloric Stenosis 361 Gastrostomy and Jejunostomy 369 Duodenal Obstruction 383 Intestinal Malrotation 392 JejunoIleal Atresia 405 Meconium Ileus 415 Duplications of the Alimentary Tract 423 Necrotizing Enterocolitis 434 Constipation 445 Hirschsprungs[books.google.de]
Scrotal Pain
  • In our 2 cases, one was a 5-year and 11-month-old boy who came to our emergency department due to scrotal pain before the diagnosis of HSP, and the other was a 5-year and 1-month-old boy who came to the outpatient clinic due to scrotal pain after the[chikd.org]
  • Abstract In an 18 month period, 198 men presented with a painful, swollen, and tender epididymis or testicular or scrotal pain. Fifty were excluded from analysis because of prior antibiotic treatment or a history of the disease, or both.[ncbi.nlm.nih.gov]
  • Abstract Clinical diagnosis of patients with acute scrotal pain is frequently imperfect. Imaging, using nuclear medicine scintigraphy and hand-held continuous-wave Doppler ultrasound devices, has been used in these patients.[ncbi.nlm.nih.gov]
  • Proper management of a patient with acute scrotal pain and swelling requires a rapid differential diagnosis. Once the diagnosis of epididymitis have been made, the physician must determine the etiologic test. Therapy should proceed logically.[popline.org]
  • The diagnosis of acute scrotal pain can be one of the most interesting and challenging aspects in medicine.[racgp.org.au]
Testicular Pain
  • Diagnosis and surgical management of male pelvic, inguinal, and testicular pain. Surgical Clinics of North America. 2016;96:593. Rottenstreich M, et al. The clinical findings in young adults with acute scrotal pain.[mayoclinic.org]
  • Overview of Testicular Pain Testicular pain, or any pain in one or both sides of the scrotum (sac that holds the testicles), should be taken seriously. Pain in the scrotum can occur in males of any age, including newborns.[wgurology.com]
  • Symptoms of mumps orchitis may include mild to severe testicular pain, swelling, tenderness, lower abdominal pain, fever, and chills.[healthcommunities.com]
  • Chronic epididymitis refers to inflammation characterized by persistent testicular pain in the absence of scrotal swelling. This condition is usually more difficult to treat and may result in long-term pain.[innerbody.com]
  • Snapshot A 60-year-old man with a history of benign prostatic hyperplasia presents with one-sided testicular pain and urinary frequency. He also reports pain with urination. Physical exam reveals a swollen right testicle with substantial induration.[medbullets.com]
Dysuria
  • AntibioticAssociated Diarrhea 367 51 Sexually Transmitted Enteric Infections 371 52 Acute Appendicitis 377 53 Diverticulitis 381 54 Abdominal Abscess 387 55 Splenic Abscess 391 56 Peritonitis 397 57 Whipples Disease and Sprue 403 PART VIII 407 58 Urethritis and Dysuria[books.google.de]
  • Also common are the symptoms of inguinal, flank, or abdominal pain, a reactive hydrocele, urethral discharge, dysuria, and sometimes fever.[clinicaladvisor.com]
  • […] of pathogen bladder outlet obstruction bacteriuria and subsequent retrograde ascent of pathogen Prognosis resolves with antibiotics Presentation Symptoms testicular pain and often unilateral lower abdominal pain urinary frequency or urgency urinary dysuria[medbullets.com]
  • […] rare in Epididymitis) Orchitis may also present with sudden unilateral Testicular Pain and often comorbid with Epididymitis Symptoms of Urinary Tract Infection (rare in Testicular Torsion ) Fever Urethra l discharge Urinary Frequency Urinary urgency Dysuria[fpnotebook.com]
  • The acute form usually develops over the course of several days, with pain and swelling frequently in only one testis, which will hang low in the scrotum. [2] There will often be a recent history of dysuria or urethral discharge. [2] Fever is also a common[ipfs.io]
Swelling of the Scrotum
  • Diagnosis and Treatment In acute epididymitis, the physical examination shows tenderness and swelling of the scrotum, discharge from the penis, enlarged groin lymph nodes , and fever.[innerbody.com]
  • Typical findings are redness, warmth and swelling of the scrotum, with tenderness behind the testicle, away from the middle (this is the normal position of the epididymis relative to the testicle).[ipfs.io]
  • Regardless, if you are having pain, tenderness, or swelling in your scrotum area, you should always consult with your doctor about it. Part 1 Recognizing Common Symptoms 1 Pay attention to testicular pain that begins on one side.[wikihow.com]
Painful Ejaculation
  • Both forms have similar symptoms including swelling of either one or both testicles, pain of the scrotum , tenderness in one or both testicles, pain when urinating, tenderness of the groin, fever , discharge from the penis , painful ejaculation, and blood[medicalook.com]
  • Painful Ejaculation Victims of this disease also suffer from pain during ejaculation. This impacts the overall health of sufferers and affects their sex life as well.[primehealthchannel.com]

Workup

  • CONCLUSIONS: A full radiologic workup to include a renal ultrasound and VCUG should be obtained in children with acute epididymitis and a positive urine culture, or recurrent epididymitis.[ncbi.nlm.nih.gov]
  • Acute testicular torsion in children: the role of sonography in the diagnostic workup. Eur Radiol 2006;16:2527–32. Mirochnik B, Bhargava P, Dighe MK, Kanth N. Ultrasound evaluation of scrotal pathology. Radiol Clin North Am 2012;50:317–32, vi.[racgp.org.au]
Mediastinal Mass
  • Child Abuse 213 Head and Neck 221 Choanal Atresia 223 Thyreoglossal and Branchial Cysts Sinuses and Fistulas 228 Tracheostomy 235 Chest 245 Chest Wall Deformities 247 Breast Disorders in Children and Adolescents 257 Congenital Airway Malformations 262 Mediastinal[books.google.de]

Treatment

  • Information regarding patient demographics, diagnostic evaluation, and treatment was reviewed. Adherence to CDC guidelines for the treatment of acute epididymitis was evaluated.[ncbi.nlm.nih.gov]
  • This fact has implications for the choice of treatment (erythromycin or tetracycline) and the investigations and treatment of sexual contacts.[ncbi.nlm.nih.gov]
  • The diagnosis and treatment of systemic blastomycosis with genitourinary involvement, and ketoconazole as the treatment of fungal infections are discussed.[ncbi.nlm.nih.gov]
  • Ciprofloxacin is not the optimal antimicrobial for the treatment of urogenital chlamydial infection. We recommend that all such patients be referred to local Genitourinary medicine services for contact-tracing and treatment of their sexual partners.[ncbi.nlm.nih.gov]
  • If Gram negative diplococci are not detected in the presence of microscopic evidence of urethritis, treatment for chlamydial infection alone is recommended.[ncbi.nlm.nih.gov]

Prognosis

  • Epididymitis Treatment Prognosis If epididymitis is diagnosed promptly and the treatment is appropriate, it usually resolves slowly without complications.[doctortipster.com]
  • Treatment and prognosis The vast majority of patients are managed with simple analgesia and oral antibiotics.[radiopaedia.org]
  • […] years of age Escherichia coli Pseudomonas aeruginosa Pathogenesis consequence of sexually transmitted disease or urinary tract infection retrograde ascent of pathogen bladder outlet obstruction bacteriuria and subsequent retrograde ascent of pathogen Prognosis[medbullets.com]
  • Prognosis Symptoms improve over first 2-3 days Inflammation and pain resolve over 2-4 weeks XVIII.[fpnotebook.com]
  • Epididymitis Prognosis Epididymitis recovery time is generally 1-3 days. With proper treatment pain subsides in a couple of days. However, an Epididymitis swelling may take several weeks or months to heal.[primehealthchannel.com]

Etiology

  • OUTCOME MEASURES AND STATISTICAL ANALYSIS: Etiology, clinical management, and outcome after 3 mo were assessed.[ncbi.nlm.nih.gov]
  • […] be valuable in patients 1) with indwelling urethral catheters, 2) who fail to respond to initial antimicrobial therapy, 3) who have epididymitis found on surgical exploration for torsion of the teticle and 4) with recurrent epididymitis in whom the etiologic[ncbi.nlm.nih.gov]
  • Following determination of the etiologic organism responsible for epididymitis, the physician must turn attention to the treatment of underlying factors. If the etiologic agent is a sexually transmitted organism, sexual partners must be treated.[popline.org]
  • Abstract The etiology of acute epididymitis was studied in 52 patients. Infection with Chlamydia trachomatis was demonstrated by culture or serology in 13 patients.[ncbi.nlm.nih.gov]
  • The etiologic role of E. Coli and C. trachomatis was confirmed by isolation from epididymal aspirates from a high proportion of men with positive urine of urethral cultures for these agents.[ncbi.nlm.nih.gov]

Epidemiology

  • This article discusses the etiology and pathogenesis of acute epididymitis along with its epidemiologic significance and reviews workers' compensation and its possible legal interpretation when acute epididymitis occurs at the worksite.[ncbi.nlm.nih.gov]
  • Replete with current evidence-based guidelines to facilitate clinical decision-making, the framework of each chapter builds upon epidemiological data centered on men.[books.google.de]
  • Epidemiology, etiology, management and follow-up recommendations. Open J Urol. 2013;3:96–101. 6. Bukowski TP, Lewis AG, Reeves D, et al. Epididymitis in older boys: dysfunctional voiding as an etiology. J Urol. 1995;154(2 Pt 2):762–765. 7.[eposters.net]
  • The authors conclude that further studies on the epidemiology, etiology and pathogenesis of this condition are needed. References[canada.ca]
  • Introduction Clinical definition inflammation of epididymis with symptoms of 6 weeks Epidemiology incidence 25 per 100,000 persons demographics men 18-35 years old risk factors sexual activity bladder outlet obstruction Etiology pathogens from sexually[medbullets.com]
Sex distribution
Age distribution

Pathophysiology

  • The results support the theory of urethrovasal reflux due to a high hydrostatic pressure at the collicular level as a pathophysiological factor in acute epididymitis.[ncbi.nlm.nih.gov]
  • Incidence Common (600,000 cases annually in the United States) ( 1 ) 1 in 1,000 adult males per year 1.2 in 1,000 boys age 2 to 13 years per year ( 2 ) Prevalence Common Etiology and Pathophysiology Infectious epididymitis Retrograde passage of urine[unboundmedicine.com]
  • Pathophysiology Ascending infection via vas deferens from prostatic Urethra IV.[fpnotebook.com]
  • Etiology and Pathophysiology Epididymitis is the most common cause of intrascrotal inflammation, 5 and retrograde ascent of pathogens is the usual route of infection.[aafp.org]

Prevention

  • Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic[books.google.de]
  • Provides a general overview of the construct of men's health, detailing the organization of preventive healthcare in men, diagnostic bias in men's healthcare, gender disparities on a global level, and the hesitancy of men to seek help.[books.google.de]
  • Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 28 January 2011. Available at: rr5912.pdf. Accessed May 30, 2016. 3. Pillai SB, Besner GE. Pediatric testicular problems.[eposters.net]
  • Abstract: The proper management of men with epididymitis and prevention of unnecessary morbidity necessitates that an accurate etiologic diagnosis be established.[popline.org]
  • The main aim of ultrasonography in a patient presenting with acute painful scrotum is to distinguish testicular torsion from acute epidiymo-orchitis, as the former warrants emergent surgery to prevent permanent damage.[sonoworld.com]

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