epididymo-orchitis
| Headline | |
|---|---|
| Etiology | Enteric pathogens, STI, mumps, vasculitides! In pre-pubertal children most often idiopathic and self-limiting. |
| Epidemiology | Enteric pathogens: - older patient - recent instrumentation - urine dip positive STI: - younger patient - new/multiple sexual partners - known contact |
| Clinical presentation | Older patient with abdo/pelvic pain: AAA? |
| Pathogenesis | |
| Diagnostic investigations | Recommend STI testing Urine MC+S |
| Management | STI → ceftriaxone 1g IM single dose, doxycycline 100mg BD 10-14 days Enteric pathogen → ofloxacin, levofloxacin, co-amoxiclav Mumps - no treatment indicated |