Mumps orchitis is an inflammation of the testicles that occurs as a complication of a mumps infection. Mumps is an infectious disease due to an RNA virus that belongs to the genus of the Rubulavirus. It causes edema of the parotid glands accompanied by pain and may secondarily lead to an inflammatory process that affects the pancreas, testis or meninges.
Mumps is otherwise known as epidemic parotitis and is a result of an infection with a virus belonging to the Rubulavirus genus. It initially presents with the non-specific symptoms of a headache, fever, fatigue and parotid edema that usually affects both of the glands. The term "mumps" is derived from the characteristic expression of the face assumed by patients who exhibit parotid gland edema .
The virus has an incubation period of 2 to 3 weeks and usually subsides on its own after supportive treatment has been administered. After the initial symptoms develop, the virus continues to circulate in the blood for approximately seven to ten days, during which period other organs are subjected to the viral load . Thus, complications that involve other organs, such as pancreatitis, meningitis, orchitis and deafness tend to develop in up to half of the patients affected by mumps, with orchitis being the one most frequently diagnosed in male patients in the age before or after puberty .
Mumps orchitis presents approximately 10 days after the onset of the initial symptoms, but they can also be delayed for six weeks. The classical presentation involves one of the testicles, but both can be affected in up to 1/3 of the patients. Symptomatology also exhibits an exacerbation, with the onset of high-grade fever, vomiting, and headache, whereas the testicles appear edematous and tender during the physical examination. The orchitis tends to resolve within 14 days after the initial presentation and may be further complicated by atrophy, even though sterility does not often develop due to the condition . Epididymitis may co-exist with mumps but is usually diagnosed before the onset of orchitis .
Entire Body System
Symptoms associated with mumps orchitis include testicular edema and pain, tenderness, high-grade fever, and vomiting. [symptoma.com]
After 7 days of hospitalization, the patient recovered from fever and testicular pain. [ncbi.nlm.nih.gov]
Most patients with mumps orchitis are hospitalized because of high fever and severe testicular pain. Fevers are frequent in mumps orchitis, although leukocytosis or pyuria are not evident in most patients. [synapse.koreamed.org]
Signs and Symptoms Incubation period: 14–25 days Fever, headache parotid inflammation (more common bilateral), cloudy saliva Orchitis: the scrotal symptoms occur after 4–6 days with a painful testicular swelling, in 10–30% bilateral. [urology-textbook.com]
Mumps orchitis can affect men's fertility or virility, and it should its governance, the application of the above drugs should comply with doctor's advice, should not be taken lightly, causing serious complications, is too late. Tags: orchitis mumps [tcmwell.com]
History Meanings of "mumps orchitis" in Turkish English Dictionary : 1 result(s) Category English Turkish Pathology 1 Pathology mumps orchitis kabakulak orşiti Pronunciation of mumps orchitis Term Options [tureng.com]
Lower Abdominal Pain
Symptoms of mumps orchitis may include mild to severe testicular pain, swelling, tenderness, lower abdominal pain, fever, and chills. [healthcommunities.com]
Swollen ovaries One in 20 females who get mumps after puberty experience swelling of the ovaries (oophoritis), which can cause: lower abdominal pain high temperature being sick The symptoms of oophoritis usually pass once the body has fought off the underlying [nhs.uk]
RESULTS: Of 195 males presenting with an acute history of testicular pain and swelling, 25 gave a history of mumps parotitis 4-11 days earlier. Three had bilateral orchitis and two needed scrotal exploration to exclude torsion. [ncbi.nlm.nih.gov]
Mumps orchitis generally manifests as a gradual worsening of testicular pain and swelling. In particular, testicular swelling can lead to a rise in intratesticular pressure followed by testicular atrophy. [synapse.koreamed.org]
The diagnosis of testicular inflammation is not difficult to establish, such as testicular pain and discomfort, with a very sensitive and intense tenderness, combined with unilateral or bilateral testicular swelling, symptoms and signs are relatively [tcmwell.com]
Many types of testicular or scrotal pain need medical attention. [wgurology.com]
He returned 10 days later with worsening scrotal pain, requiring admission for analgesia. Mumps serology revealed an elevated IgM but undetectable IgG titre. [mja.com.au]
Centers for Disease Control and Prevention (CDC), epididymitis is especially common in young sexually-active men and is the most common cause of acute (severe) scrotal pain in adolescent males. [healthcommunities.com]
Men with epididymitis and orchitis typically present with a gradual onset of scrotal pain and symptoms of lower urinary tract infection, including fever. [aafp.org]
Swelling of the Scrotum
When to see a doctor If you have pain or swelling in your scrotum, especially if the pain occurs suddenly, see your doctor right away. A number of conditions can cause testicle pain, and some require immediate treatment. [mayoclinic.org]
Follow-up Follow-up is recommended three to seven days after initial evaluation and initiation of treatment to evaluate for clinical improvement and for the presence of a testicular mass. 4, 22 With treatment, pain typically improves within one to three [aafp.org]
Mumps orchitis is mostly diagnosed clinically since it develops following a typical presentation of mumps. Symptoms associated with mumps orchitis include testicular edema and pain, tenderness, high-grade fever, and vomiting.
A complete blood cell count (CBC) carried out on a patient affected by mumps orchitis is expected to display leucocytosis or leucopenia, alongside elevated rates of C-reactive protein. A urinalysis and culture should be carried out to exclude other bacterial infections as the cause of orchitis; patients affected with mumps orchitis usually display no abnormal findings on urinalysis or on a urethral culture. Ultrasonography can also be employed, as it can detect testicular and epididymal edema and hypervascularization in hypo-echogenic surroundings; its diagnostic value is increased when the imaging modality preferred is a color Doppler ultrasound .
As far as serology is concerned, immunoglobulin M (IgM) antibodies that are specific to a mumps infection can be detected in the serum after averagely 8 days following the development of the symptoms. The test's specificity, however, is low. A real-time polymerase chain reaction test (real-time PCR) is a valuable diagnostic tool for the detection of mumps with a high specificity and sensitivity. Lastly, the virus can be found in the urine and saliva within the first 13 days after symptoms have arisen   .
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