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?
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2 comments:
Testicular infarction secondary to epididymitis?
yes, pretty much
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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.
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