流行性腮腺炎病毒引起的睾丸炎

定义

感染腮腺炎病毒几天内，腮腺炎病毒可侵袭睾丸腺体，导致突然出现39-41℃的发热、睾丸剧烈疼痛、阴囊肿胀和红斑。腮腺炎诱发的睾丸炎通常在腮腺炎后1-2周出现。病毒浸润睾丸腺体可引起实质炎症、生精小管分离和血管周间质性淋巴细胞浸润。睾丸内压升高可导致睾丸萎缩。并发症包括少精子症、无精子症和弱精子症，可能导致低生育力。不孕症在双侧腮腺炎性睾丸炎患者中更为常见，估计约占所有患者的13%。腮腺炎性睾丸炎很少引起不育。

Within a few days of infection the mumps virus can attack the testicular glands leading to abrupt onset of fever ranging from 39 to 41 °C, severe testicular pain, scrotal swelling and erythema. Mumps induced orchitis typically presents 1-2 weeks after parotitis. The virus’ infiltration into the testicular glands can cause parenchymal inflammation, separation of seminiferous tubules and perivascular interstitial lymphocyte infiltration. Testicular atrophy can result from a rise in intratesticular pressure. Complications include oligospermia, azoospermia, and asthenospermia, which can contribute to subfertility. Infertility is more common in patients with bilateral mumps orchitis and is estimated to occur in approximately 13% of all patients. Sterility is rarely induced by mumps orchitis.

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• 流行性腮腺炎性睾丸炎

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• 流行性腮腺炎病毒引起的睾丸炎
• 流行性腮腺炎性睾丸炎