Patient's question:
A few days ago, I had a cold, so I thought the fever and chills were caused by the cold. But the fever didn't go down, and when I went to the hospital, the doctor said I had orchitis. I don't know how I got this disease, but how can I treat early-stage orchitis?Doctor's answer:
Orchitis is mostly caused by bacterial infection of the testicles, with transmission primarily occurring through retrograde infection. It often recurs in patients with lower urinary tract infections, prostatitis, post-urethral surgery, or those with long-term indwelling catheters, leading to epididymo-orchitis. It can also spread to the testicles through the bloodstream, resulting in isolated orchitis. The causative pathogens are commonly Escherichia coli, Proteus, Staphylococcus, Enterococcus, and Pseudomonas aeruginosa, among others. Clinical symptoms typically include unilateral pain radiating to the groin, accompanied by fever, chills, nausea, and vomiting. The scrotal skin becomes red and swollen, with enlargement and tenderness of the testicles and epididymis, which may also be accompanied by hydrocele.