title: Frequency of epididymo-orchitis in hospitalized patients with acute scrotum at Shohadaye Ashayer Hospital, Khorramabad, Iran.
abstract: OBJECTIVE
  To investigate the frequency of epididymo-orchitis in patients with acute scrotum.
  
  
  METHODS
  In this five-year cross sectional study from March 2004 to June 2009, 83 patients who were hospitalized for acute scrotal pain at Shohadaye Ashayer Hospital in Khorramabad were investigated. First, urine analysis and urine culture tests were carried out followed by sonography if necessary. In cases of suspicious sexual activities, serologic tests and urethral secretion culture were also carried out. In patients whose response to treatment was unsatisfactory after 48 hours, brucellosis and tuberculosis were investigated.
  
  
  RESULTS
  Out of 83 patients with epididymo-orchitis, there were positive urine cultures in 69 patients. In 52 (62.7%) of these patients, 30 were infected with E. Coli, 9 with Klebsiella, 8 with Pseudomonas, and 5 cases with Proteus, respectively. In 17 cases, tuberculosis and ischaemic orchitis were observed.
  
  
  CONCLUSIONS
  Among common causes of epididymo-orchitis, rare causes such as tumour, tuberculosis, and brucellosis must be taken into consideration. In all these cases sufficient time for the follow-up should be taken into account.
authors.affiliation: Department of Urology, Urology and Nephrology Research Center (UNRC), Lorestan Unversity of Medical Sciences, Lorestan, Islamic Republic of Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Heidari
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Nazer
authors.forename: Abdolreza
authors.initials: A
authors.lastname: Kheirollahi
authors.forename: Mehdi
authors.initials: M
authors.lastname: Birjandi
authors.forename: Hajar
authors.initials: H
authors.lastname: Zareie
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004823:Epididymitis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006785:Hospitals, University; D006801:Humans; D007297:Inpatients; D007492:Iran / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D012611:Scrotum; D016482:Urinalysis; D055815:Young Adult