Epididymitis acuta - Altmeyers Encyclopedia

Synonym(s)

Acute epididymitis; Epididymitis

Definition
This section has been translated automatically.

Mostly an infection of the epididymis, usually followed by urethritis, often in gonorrhoea.

Pathogen
This section has been translated automatically.

Mainly Neisseria gonorrhoeae or Chlamydia trachomatis.

You might also be interested in

Dermatology

Syphilis acquisita: two sharply defined, surprisingly coarse, completely indolent, red, yellowish...

Early syphilis

Worldwide, bacterial, sexually transmitted infection with a typical, phasic, chronic course with initial lo...

Advertisment

Clinical features
This section has been translated automatically.

Sudden, severe pain in the testicles, fever. Mostly unilateral, pressure-painful enlargement of the epididymis, highly red, shiny skin.

Laboratory
This section has been translated automatically.

Leukocytosis, urine sediment: leukocytes, bacteria, elevated non-specific inflammation markers (CRP).

Differential diagnosis
This section has been translated automatically.

Testicular torsion, testicular tumors, hydrocele, varicocele, dermatocele.

General therapy
This section has been translated automatically.

Cooperation with the urologist. Bed rest for a few days, testicular elevation with a testicular bench or elevation of the testicles with a wide plaster band (attached to both thighs). Moist compresses with physiological saline solution, cooling.

Internal therapy
This section has been translated automatically.

Immediate, high-dose antibiotic administration with cephalosporins such as ceftriaxone (Rocephin) 250-500 mg i.v. combined with doxycycline (e.g. Doxy-Wolff) 2 times/day 100 mg p.o. for at least 8-10 days
Alternatively broad-spectrum antibiotics ( gyrase inhibitors) such as Ofloxacin (Tarivid) 2 times/day 300 mg p.o. for at least 8-10 days.
Alternatively penicillin 10 mega/day i.v. (e.g. penicillin Grünenthal) combined with tetracyclines (e.g. Achromycin Filmtbl.) 4 times/day 250 mg.