Abstract
Hand, Foot, and Mouth Disease (HFMD) is predominantly recognized as a childhood disease and is not generally anticipated to manifest in adults. In addition to inducing symptoms such as fever, herpangina, and distal-extremity rashes, HFMD can also lead to rare complications such as encephalitis and onychomadesis. Epididymo-orchitis, however, is not considered an expected complication of HFMD.
In our case, a patient diagnosed with HFMD presented with testicular pain four days later, and epididymo-orchitis was subsequently identified in the patient initially suspected of testicular torsion. Cases of Coxsackie virus-related epididymo-orchitis have been reported in the literature, and these cases can be mistaken for torsion, thereby posing the risk of unnecessary surgical interventions. Testicular pain in a young adult with a history of HFMD should be considered a potential diagnosis of viral epididymo-orchitis.
References
- Ventarola D, Bordone L, Silverberg N. Update on hand-foot-and-mouth disease. Clin Dermatol. 2015;33(3):340-346.
- Yüksel S, et al. Onychomadesis—a late complication of hand-foot-mouth disease. J Pediatr. 2016;174:274.
- Shah J, et al. Neurological complications of hand, foot and mouth disease in children: a review. J Ayub Med Coll Abbotta-bad. 2020;32(4):562-569.
- Holmes K, Berger R, Alexander E. Acute epididymitis: etiology and therapy. Arch Androl. 1979;3(4):309-316.
- Liu W, et al. Viral threat to male fertility. Andrologia. 2018;50(11).
- Ludwig M. Diagnosis and therapy of acute prostatitis, epididymitis and orchitis. Andrologia. 2008;40(2):76-80.
- Vuorinen T, et al. Epididymitis caused by coxsackievirus A6 in association with hand, foot, and mouth disease. J Clin Mic-robiol. 2014;52(12):4412-4413.
- Di Lella E, et al. An unusual location of hand, foot and mouth disease. J Ultrasound. 2021;24(1):1-4
Abstract
El, Ayak ve Ağız Hastalığı (HFMD), ağırlıklı olarak çocukluk çağı hastalığı olarak kabul edilmektedir ve genellikle yetişkinlerde ortaya çıkması beklenmemektedir. HFMD, ateş, herpanjina ve distal ekstremite döküntüleri gibi semptomları tetiklemenin yanı sıra ensefalit ve onikomadezis gibi nadir komplikasyonlara da yol açabilir. Ancak epididimo-orşit, HFMD’nin beklenen bir komplikasyonu olarak görülmemektedir.
Bu olguda HFMD tanısı alan bir hasta dört gün sonra testis ağrısı şikayetiyle başvurmuş ve testis torsiyonundan şüphelenilen hastada daha sonra epididimo-orşit tespit edilmiştir. Literatürde Coxsackie virüsüne bağlı epididimo-orşit vakaları bildirilmiş olup, bu vakalar torsiyon ile karıştırılarak gereksiz cerrahi girişim riski oluşturabilir. HFMD öyküsü olan genç bir yetişkinde testis ağrısı, potansiyel bir viral epididimo-orşit tanısı olarak düşünülmelidir.
Keywords
References
- Ventarola D, Bordone L, Silverberg N. Update on hand-foot-and-mouth disease. Clin Dermatol. 2015;33(3):340-346.
- Yüksel S, et al. Onychomadesis—a late complication of hand-foot-mouth disease. J Pediatr. 2016;174:274.
- Shah J, et al. Neurological complications of hand, foot and mouth disease in children: a review. J Ayub Med Coll Abbotta-bad. 2020;32(4):562-569.
- Holmes K, Berger R, Alexander E. Acute epididymitis: etiology and therapy. Arch Androl. 1979;3(4):309-316.
- Liu W, et al. Viral threat to male fertility. Andrologia. 2018;50(11).
- Ludwig M. Diagnosis and therapy of acute prostatitis, epididymitis and orchitis. Andrologia. 2008;40(2):76-80.
- Vuorinen T, et al. Epididymitis caused by coxsackievirus A6 in association with hand, foot, and mouth disease. J Clin Mic-robiol. 2014;52(12):4412-4413.
- Di Lella E, et al. An unusual location of hand, foot and mouth disease. J Ultrasound. 2021;24(1):1-4
Details
| Primary Language | English |
|---|---|
| Subjects | Medical Virology |
| Journal Section | Case Reports |
| Authors | |
| Early Pub Date | September 30, 2024 |
| Publication Date | |
| Submission Date | November 12, 2023 |
| Acceptance Date | September 30, 2024 |
| Published in Issue | Year 2024 Volume: 9 Issue: 3 |
Cite
Creative Commons Attribution Non-Commercial License: The articles in the Journal of Immunology and Clinical Microbiology are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.