Department of Urology, Fatih Government Hospital, Trabzon, Turkey.
J Clin Virol. 2010 Aug;48(4):282-4. doi: 10.1016/j.jcv.2010.06.002. Epub 2010 Jul 2.
Crimean-Congo haemorrhagic fever (CCHF) is a potentially fatal disease caused by a tick-borne virus.
A 53-year-old man presented with fever and acute painful scrotal swelling simulating acute epididymo-orchitis.
Based on the clinical and epidemiological findings, CCHF virus infection and epididymo-orchitis were suspected. This symptom, rarely reported in viral haemorrhagic fevers, was observed in this case.
The diagnosis was confirmed by detection of the IgM antibody to CCHF virus and positive RT-PCR.
We report the first case of imported CCHF presenting as epididymo-orchitis. This symptom is a rare complication of CCHF, and the clinician should consider this entity in the differential diagnosis of adults with epididymo-orchitis.
克里米亚-刚果出血热（CCHF）是一种由蜱传播的病毒引起的潜在致命疾病。
一名 53 岁男性因发热和急性疼痛性阴囊肿胀就诊，类似于急性附睾炎。
根据临床和流行病学发现，怀疑存在 CCHF 病毒感染和附睾炎。这种在病毒性出血热中很少见的症状在本例中观察到。
通过检测 CCHF 病毒的 IgM 抗体和阳性 RT-PCR 来确诊。
我们报告首例以附睾炎为表现的输入性 CCHF。这种症状是 CCHF 的罕见并发症，临床医生应在鉴别诊断成人附睾炎时考虑到这种疾病。
