Clinical Characteristics of Acute Epididymitis in Children and Adults / 대한비뇨기과학회지
Korean Journal of Urology
;
: 674-676, 1999.
Article
Dans Coréen
| WPRIM
| ID: wpr-58618
ABSTRACT
PURPOSE:
We investigated if there are some differences in clinical charecteristics of acute epididymitis between child and adult and if ordinary therapeutic regimen based on antibiotics is the most appropriate one. MATERIALS ANDMETHODS:
We reviewed medical records of 64 patients with acute epididymitis retrospectively, who took admission treatment from July, 1996 to June, 1998 at our hospital. These patients were divided into two groups, child and adult group, younger and older than 16 years respectively. The diagnosis of acute epididymitis was made by symptoms, physical examinations, doppler sonography, and/or radionuclide scan. Chronic epididymitis, recurrent epididymitis, patients taken antibiotics before admission, and surgical epididymis were excluded from this study. We investigated the age of the patients, symptoms, symptom duration and signs. Complete blood count, urinalysis, and urine culture were performed. Independent-samples T-test was used for the comparative analysis of the results.RESULTS:
Symptoms including scrotal swelling and pain were not different between two groups significantly. Signs including scrotal tenderness, fever, and leucocytosis were not different between two groups significantly. However, there were statistically significant differences between two groups in studies of urine. Pyuria or positive urine culture were 20.8%(5 of 24) in child group and 52.5%(21 of 40) in adult group(p<0.001).CONCLUSIONS:
In acute epididymitis, evidences of urinary tract infection were significantly lower in children than in adults. So, although further studies are needed to find out the exact cause of acute epididymitis, at least ordinary therapeutic regimen based on antibiotics would not be the best one for the majority of children without evidence of urinary tract infection.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Examen physique
/
Pyurie
/
Infections urinaires
/
Hémogramme
/
Dossiers médicaux
/
Études rétrospectives
/
Examen des urines
/
Diagnostic
/
Épididyme
/
Épididymite
Type d'étude:
Etude diagnostique
/
Étude observationnelle
Limites du sujet:
Adulte
/
Enfant
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Korean Journal of Urology
Année:
1999
Type:
Article
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