Department of Radiology, S. Filippo Neri Hospital, Rome, Italy.
Department of Radiological, Oncological and Pathobiological Sciences, Sapienza University of Rome, Rome, Italy.
J Ultrasound. 2022 Jun;25(2):361-364. doi: 10.1007/s40477-021-00558-y. Epub 2021 Mar 20.
Hand, foot, and mouth disease (HFMD) is a childhood febrile disease. Oral lesions and papulovesicular lesions on the hands and feet are the clinical signs of the disease. In our case, a 17-year-old boy presented to the emergency department, where he was diagnosed with HFMD. After 6 days, he felt intense pain in his right testicle, and therefore an ultrasound (US) examination was performed. US detected a hypoechoic mass-like area in the right testis. Viral etiology was suspected, and no therapy was prescribed. After a little more than 3 months, US examination showed a reduced lesion size. Viral epididymo-orchitis should be suspected in young men with a recent history of HFMD and testicular pain.
手足口病（HFMD）是一种儿童发热性疾病。口腔病变和手、足部的疱疹样病变是该病的临床特征。在本病例中，一名 17 岁男孩因手足口病到急诊科就诊。6 天后，他感到右侧睾丸剧烈疼痛，因此进行了超声（US）检查。US 发现右侧睾丸内存在低回声团块样区域。考虑为病毒病因，未予治疗。3 个多月后，US 检查显示病变大小减小。对于近期有手足口病病史且伴有睾丸疼痛的年轻男性，应怀疑病毒性附睾睾丸炎。
