Source:Somekh E, Gorenstein A, Serour F. Acute epididymitis in boys: evidence of a post-infectious cause.
J Urol.
2004
;
171
:
391
–394.

The authors from Edith Wolfson Medical Center, Holon, Israel, performed a prospective controlled study of 44 children (2 to 14 years of age) with acute epididymitis diagnosed by ultrasound. Control patients were males of similar age presenting for routine surgery. All patients with epididymitis underwent immediate scrotal ultrasonography as well as throat and urine cultures, viral cultures of the nasopharynx, and stool cultures. Serological tests for group A streptococcus and Mycoplasma pneumoniae were obtained in all cases and controls. Serological tests for enteroviruses, adenovirus, influenza, and parainfluenza virus were obtained in cases and controls when seasonally appropriate. One patient had epididymitis attributed to Henoch-Schönlein purpura and another had familial Mediterranean fever as a cause of epididymitis. Viral and/or bacterial growth was identified in 9 (20%) out...

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