Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19

Epididymo-orchitis is an infection of the epididymis and testis, one of the most common urogenital infections. It can be seen at any age. It is caused by sexually transmitted microorganisms and nonsexual transmitted pathogens. Viruses such as mumps and cytomegalovirus can also cause epididymo-orchit...

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Main Authors: Ali Tavoosian, Sana Ahmadi, Seyed Mohammad Kazem Aghamir
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2022/1891429
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author Ali Tavoosian
Sana Ahmadi
Seyed Mohammad Kazem Aghamir
author_facet Ali Tavoosian
Sana Ahmadi
Seyed Mohammad Kazem Aghamir
author_sort Ali Tavoosian
collection DOAJ
description Epididymo-orchitis is an infection of the epididymis and testis, one of the most common urogenital infections. It can be seen at any age. It is caused by sexually transmitted microorganisms and nonsexual transmitted pathogens. Viruses such as mumps and cytomegalovirus can also cause epididymo-orchitis. During the COVID-19 pandemic, in case of abnormal clinical manifestations of COVID infection and inadequate therapeutic response to the routine therapies, this disease with unusual manifestations should be considered. The case introduced in this paper is a 55-year-old man referred to a urology clinic with typical clinical presentations of epididymo-orchitis. Diagnosis by color Doppler examination and ultrasound also confirmed epididymo-orchitis. The patient underwent appropriate and routine treatment for epididymo-orchitis. Because of the lack of adequate clinical response and the continuation of fever and the development of scrotal lesions and the results of the control ultrasound, which suggested rupture of the tunica albuginea capsule, he underwent surgical exploration and subsequent orchiectomy. Due to the unconventional conditions and the usual culture and pathology, COVID-19 PCR was also performed on the tissues. The PCR showed tissue infection with COVID-19. The patient’s clinical condition improved with an orchiectomy, the fever stopped, and he was discharged in a good general condition. It should be noted that before referral to the urology clinic and during hospitalization, evaluation, and treatment, the patient had no evidence in favor of respiratory tract infection with the coronavirus.
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spelling doaj-art-45316a3c9f8d4b51aff26dbeb3ad97e52025-02-03T01:07:35ZengWileyCase Reports in Urology2090-69782022-01-01202210.1155/2022/1891429Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19Ali Tavoosian0Sana Ahmadi1Seyed Mohammad Kazem Aghamir2Urology Research CenterUrology Research CenterUrology Research CenterEpididymo-orchitis is an infection of the epididymis and testis, one of the most common urogenital infections. It can be seen at any age. It is caused by sexually transmitted microorganisms and nonsexual transmitted pathogens. Viruses such as mumps and cytomegalovirus can also cause epididymo-orchitis. During the COVID-19 pandemic, in case of abnormal clinical manifestations of COVID infection and inadequate therapeutic response to the routine therapies, this disease with unusual manifestations should be considered. The case introduced in this paper is a 55-year-old man referred to a urology clinic with typical clinical presentations of epididymo-orchitis. Diagnosis by color Doppler examination and ultrasound also confirmed epididymo-orchitis. The patient underwent appropriate and routine treatment for epididymo-orchitis. Because of the lack of adequate clinical response and the continuation of fever and the development of scrotal lesions and the results of the control ultrasound, which suggested rupture of the tunica albuginea capsule, he underwent surgical exploration and subsequent orchiectomy. Due to the unconventional conditions and the usual culture and pathology, COVID-19 PCR was also performed on the tissues. The PCR showed tissue infection with COVID-19. The patient’s clinical condition improved with an orchiectomy, the fever stopped, and he was discharged in a good general condition. It should be noted that before referral to the urology clinic and during hospitalization, evaluation, and treatment, the patient had no evidence in favor of respiratory tract infection with the coronavirus.http://dx.doi.org/10.1155/2022/1891429
spellingShingle Ali Tavoosian
Sana Ahmadi
Seyed Mohammad Kazem Aghamir
Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
Case Reports in Urology
title Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
title_full Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
title_fullStr Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
title_full_unstemmed Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
title_short Necrotizing Epididymo-Orchitis: A Rare Manifestation of COVID-19
title_sort necrotizing epididymo orchitis a rare manifestation of covid 19
url http://dx.doi.org/10.1155/2022/1891429
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