Monday, June 18, 2012

Peas in a Pod

A husband and wife come to you for an infertility work-up. They have two healthy children already (and parentage is confirmed) and would like to have a third child, but have been trying for a year and been unsuccessful. The husband says, "I think it all happened after I got this infection. You see, a year ago, I had a fever to 40 degrees, severe testicular pain, and a rash on my scrotum." On exam, you note testicular atrophy.

Challenge: What happened?

Image is in the public domain.


Reflex Hammer said...

Testicular infarction secondary to epididymitis?

Craig Chen said...

yes, pretty much
Peas in a Pod

Mumps leading to epididymoorchitis is a well-described cause of male infertility. The image shows an electron micrograph of the virus.

Sources: UpToDate; Wikipedia.