Orchitis Flashcards
When does swelling develop in mumps orchitis?
7-10 days after bilateral parotid swelling
What % of mumps orchitis leads to testicular atrophy?
3–50%
% of mumps orchitis have reduced fertility
13%
Tests in Epididymo-orchitis
MSU and culture urethral swab for culture FPU NAATs for CT/GC FPU for m.gen also offer BBI tests crp, wbc may be useful if severe Mumps IgM/IgG if suspected
What % of patients with brucellosis, have epididymis-orchitis?
up to 20%
Treatment for Epipididmyo-orchitis
- Ceftriaxone 1g intramuscularly single dose plus doxycycline 100mg by mouth
twice daily for 10-14 days
if due to chlamydia or other non-gonococcal organisms (for example, where gonorrhoea
has been ruled out by gram stain and no risk factors for gonorrhoea identified*):
- Doxycycline 100mg by mouth twice daily for 10-14 days
- Ofloxacin** 200mg by mouth twice daily for 14 days
for enteric :
- Ofloxacin 200mg by mouth twice daily for 14 days
- Levofloxacin 500mg by mouth once daily for 10 days
(if quinolones are contraindicated: Amoxycillin/clavulanate 625mg by mouth three times daily
for 10 days)
How to treat m.genitalium orchitis?
Moxifloxacin 400mg once daily for 14 days
How to treat for epididymo-orchitis of all causes where the patient is allergic to cephalosporins and/or
tetracyclines?
Ofloxacin 200mg by mouth twice daily for 14 days
Suggestive PN period for epididymis-orchitis?
4 weeks
When should swelling resolve?
80% at 3 months
When should you FU orchitis?
Culture review at 48-72hrs
Review patient at 2 weeks
