TY  - JOUR
T1  - Epididymo-Orchitis Caused by Hand, Foot, and Mouth Disease In Adults
AU  - Gültekin, Arif Cengiz
PY  - 2024
DA  - September
Y2  - 2024
DO  - 10.58854/jicm.1389854
JF  - Journal of Immunology and Clinical Microbiology
JO  - J Immunol Clin Microbiol
PB  - Erkan YULA
WT  - DergiPark
SN  - 2528-9470
SP  - 97
EP  - 100
VL  - 9
IS  - 3
LA  - en
AB  - 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.
KW  - Hand
KW  - Footh
KW  - and Mouth Disease
KW  - Epididymo-Orchitis
KW  - Coxasckie virus
N2  - 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.
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UR  - https://doi.org/10.58854/jicm.1389854
L1  - http://dergipark.org.tr/tr/download/article-file/3533163
ER  -