Patient's question:
1、On November 28th morning, the left submandibular gland was swollen. The doctor diagnosed it as submandibular glanditis. Oral spiramycin and Lianqiao Baidu capsules were prescribed. That evening, a fever of 38.6°C was developed, and antipyretic injections were administered. On November 28th evening, left testicular pain lasted all night.2、On November 29th, the doctor diagnosed mumps as the cause of the submandibular glanditis, which led to orchitis.
3、From November 29th to December 2nd, intravenous drips were administered with medications: 3 vials of cefotaxime sodium, 5 vials of azithromycin, and 3 vials of dexamethasone. During this period, body temperature remained normal.
4、On December 3rd morning, persistent high fever of 39.5°C lasted all day. The otolaryngology department diagnosed mumps and prescribed cefotaxime sodium and metronidazole. That evening, one bottle was administered, and starting at 1:30 PM, low-grade fever of 40.1°C developed, relieved with nimesulide. On December 4th morning, another dose was administered, and the fever remained at 39.5°C.
5、On December 4th evening, two vials of penicillin and ganciclovir were administered.
Doctor's answer:
The description indicates that orchitis is the second level of involvement in mumps, and this condition is more common. This is because the mumps virus re-enters the bloodstream, causing a secondary viremia.Recommendations:
1. Rest and enhance nutrition;
2. Antiviral treatment;
3. Fever reduction and symptomatic treatment. If the condition is severe, dexamethasone may be added.
Doctor's Advice: For patients with orchitis, timely treatment can reduce the severity of the condition. If left untreated, it may affect overall health. Therefore, patients should receive timely symptomatic treatment and maintain a regular lifestyle in daily life, avoiding prolonged sitting.