Suzuki Masayasu, Takizawa Akitoshi, Furuta Akira, Yanada Shuichi, Iwamuro Shinya, Tashiro Kazuya
Department of Urology, Kanagawa Prefectural Atsugi Hospital.
Nihon Hinyokika Gakkai Zasshi. 2002 May;93(4):577-9. doi: 10.5980/jpnjurol1989.93.577.
In Japan, freeze-dried live attenuated mumps vaccine has been used optionally since 1981. The effectiveness of mumps vaccination has been established by worldwide research since 1971. On the other hand, because of it's live activity several untoward effects have been reported. Vaccination-related mumps orchitis is a rare adverse effect of mumps vaccine. Only 9 cases of vaccination-related mumps orchitis have been reported in Japan. We describe a case of orchitis following mumps vaccination in adolescence. A 16 years-old male has admitted because of acute orchitis with high fever and painful swelling of right testis. The patient had received vaccination with freeze-dried live attenuated mumps vaccine 16 days before admission. After admission, the bed-rest had completely relieved the symptoms on 6th hospital day. The impaired testis has maintained normal size and consistency 6 months after discharge.
在日本,自1981年起可选择使用冻干减毒活腮腺炎疫苗。自1971年以来,全球范围内的研究已证实腮腺炎疫苗的有效性。另一方面,由于其活疫苗特性,已报告了若干不良反应。疫苗接种相关的腮腺炎睾丸炎是腮腺炎疫苗罕见的不良反应。在日本,仅报告了9例疫苗接种相关的腮腺炎睾丸炎病例。我们描述了一例青春期腮腺炎疫苗接种后发生睾丸炎的病例。一名16岁男性因急性睾丸炎伴高热及右侧睾丸疼痛肿胀入院。患者在入院前16天接种了冻干减毒活腮腺炎疫苗。入院后,卧床休息在住院第6天时完全缓解了症状。出院6个月后,受损睾丸保持正常大小和质地。