Is there any association of COVID-19 with testicular pain and epididymo-orchitis?
Is there any association of COVID-19 with testicular pain and epididymo-orchitis?
复制标题
DOI：
10.1111/ijcp.13753
复制
发表时间：
2020-11-09
影响因子：
2.6
通讯作者：
Yilmaz, Omer
中科院分区：
文献类型：
--
作者：
Ediz, Caner;Tavukcu, Hasan Huseyin;Yilmaz, Omer
目的本研究旨在分析新型冠状病毒病（COVID-19）相关的住院患者睾丸疼痛，并回顾其作为附睾炎、睾丸炎或两者的病因因素。方法共纳入91例患者。对COVID-19患者的睾丸疼痛或睾丸附睾炎进行问卷调查。还记录了人口统计和既往病史。记录患者的中性粒细胞和淋巴细胞计数、中性粒细胞与淋巴细胞比值（NLR）、c反应蛋白（CRP）水平和d -二聚体值。COVID-19患者根据有无睾丸疼痛或附睾睾丸炎分为两组，分别为1组和2组。对两组的所有结果进行比较。结果两组患者中位年龄相近。10.98%的患者出现睾丸疼痛。临床表现为附睾睾丸炎的诊断只有一个病人。两组患者年龄、CRP、d -二聚体水平、NLR及问卷查询结果差异均无统计学意义（P < 0.05）。结论2019冠状病毒病住院患者睾丸疼痛发生率较高。而COVID-19患者未发现与预测睾丸疼痛或睾丸附睾炎相关的炎症标志物。
Aims This study aims to analyse the novel Coronavirus disease- (COVID-19) related testicular pain in hospitalised patients because of COVID-19 and to review as an aetiological factor for epididymitis, orchitis or both.Methods A total of 91 patients were included in the study. A questionnaire was formed for the questioning of testicular pain or epididymo-orchitis in patients with COVID-19. Demographics and past medical history was also recorded. Patients' neutrophil and lymphocyte counts, neutrophil-lymphocyte ratios (NLR), C-reactive protein (CRP) levels and D-dimer values were recorded. Patients with COVID-19 were divided into two groups according to absence or presence of testicular pain or epididymo-orchitis as group 1 and group 2. All results were compared for both groups.Results The median age of patients was similar in both groups. Testicular pain was occurred in 10.98% of the patients. Clinical presentation of epididymo-orchitis was diagnosed in only one patient. No statistically significant difference was reported in terms of patients' age, levels of CRP and D-Dimer or NLR and results of questionnaire form queries between the two groups (P > .05).Conclusion Testicular pain was observed more frequently in hospitalised COVID-19 cases. While no inflammation marker which is related to predict of testicular pain or epididymo-orchitis was found in patients with COVID-19.