А clinical case of mumps incurred in orhiepididimita a teenager
- Authors: Ivanov D.O.1, Timchenko V.N.2, Pochinyaeva L.M.3, Shakmaeva M.A.2, Kaplina T.A.2, Subbotina M.D.2, Chernova T.M.1, Bulina O.V.2
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Affiliations:
- St. Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
- St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
- N.F. Filatov Children’s City Clinical Hospital No. 5
- Issue: Vol 11, No 6 (2020)
- Pages: 71-78
- Section: Clinical observation
- URL: https://journals.eco-vector.com/pediatr/article/view/64939
- DOI: https://doi.org/10.17816/PED11671-78
- ID: 64939
Cite item
Abstract
Mumps currently is a vaccine-preventable infections. However, mumps still remains an urgent problem all over the world, due to periodic increases in the incidence in older children (including the vaccinated ones against this infection), in adults (the disease often does not go smoothly with involving various organs in the pathological process and systems). The literature describes the various adverse effects of male mumps, including infertility, testicular atrophy, testicular tumors, impotence, gynecomastia, etc. The article provides information on the incidence of mumps in the Russian Federation and St. Petersburg, the clinical manifestation of the infection. It was noted that in adolescent boys and men, the presence of orchitis (orchoepididymitis) is a frequent symptom of the disease. It is shown in the article, that testicular inflammation rate increases with age of patients. A brief description of modern methods of laboratory diagnostics and therapy is given in accordance with clinical recommendations and treatment standards. A clinical case of mumps, combined severe form (mumps + orchoepididymitis), in a 17-year-old boy is presented in this article. The features of the course of the disease, the results of laboratory and instrumental examination and treatment have been analyzed in this item. Conservative therapy (antiviral and antibacterial) of mumps, as well as timely surgical treatment of orchoepididymitis, led to a complete clinical and laboratory recovery of the patient.
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About the authors
Dmitry O. Ivanov
St. Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: doivanov@yandex.ru
MD, PhD, Dr. Sci. (Med.), Professor, Rector
Russian Federation, Saint PetersburgVladimir N. Timchenko
St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
Email: timchenko220853@yandex.ru
MD, PhD, Dr. Sci. (Med.), Professor, Head Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgLyubov M. Pochinyaeva
N.F. Filatov Children’s City Clinical Hospital No. 5
Email: detinfection@mail.ru
Deputy Chief Physician for the Medical Department
Russian Federation, Saint PetersburgMaria A. Shakmaeva
St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
Email: shakmaevainf@mail.ru
Resident Doctor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgTatyana A. Kaplina
St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
Email: k.kta@yandex.ru
MD, PhD, Associate Professor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgMaria D. Subbotina
St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
Email: m.03@bk.ru
MD, PhD, Associate Professor Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgTatyana M. Chernova
St. Petersburg State Pediatric Medical University of the Ministry of Healthcare of the Russian Federation
Email: t-chernova@mail.ru
MD, PhD, Associate Professor, Department of Infectious Diseases in Children named after Professor M.G. Danilevich
Russian Federation, Saint PetersburgOksana V. Bulina
St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation
Email: detinfection@mail.ru
MD, PhD, Associate Professor Department of Rehabilitation AF and DPO
Russian Federation, Saint PetersburgReferences
- Эпидемический паротит. Современное представление о возбудителе, клиника, диагностика, профилактика / под ред. А.П. Агафонова. Новосибирск: ЗАО Медико-биологический Союз. – 2007. – 82 с. [Epidemicheskij parotit. Sovremennoe predstavlenie o vozbuditele, klinika, diagnostika, profilaktika. Agafonov AP, ed. Novosibirsk: ZAO Mediko-biologicheskij Soyuz; 2007. 82 p. (In Russ.)]
- Данные по заболеваемости организационно-методического отдела инфекционной службы Комитета по здравоохранению. СПб: 2009–2018 гг. [Dannye po zabolevaemosti organizacionno-metodicheskogo otdela infekcionnoj sluzhby Komiteta po zdravoohraneniyu. Saint Petersburg; 2009–2018. (In Russ.)]
- Детские прививки в СССР и России. [Detskie privivki v SSSR i Rossii. (In Russ.)] Дата обращения: 29.11.2020. Режим доступа: http://mhlife.ru/prevention/infections/kid-vaccination-history.html.
- Клинические рекомендации (протокол лечения) оказания медицинской помощи детям больным эпидемическим паротитом. ФГБУ НИИДИ ФМБА России, 2015. [Klinicheskie rekomendacii (protokol lecheniya) okazaniya medicinskoj pomoshchi detyam bol’nym epidemicheskim parotitom. FGBU NIIDI FMBA, Russia; 2015. (In Russ.)] Дата обращения: 29.01.2021. Режим доступа: http://niidi.ru/dotAsset/ba8dd601-7b01-40b6-806c-21bf63436a55.pdf.
- Контарова Е.О., Юминова Н.В., Борисова Т.К. Современное состояние вакцинопрофилактики эпидемического паротита // Инфекция и иммунитет. – 2011. – Т. 1. – № 1. – С. 77–80. [Kontarova EO, Yuminova NV, Borisova TK. Modern status of vaccine prophylaxis of mumps. Russian Journal of Infection and Immunity. 2011;1(1):77-80. (In Russ.)]
- Лихтшангоф А.З. Основные этапы изучения детских инфекционных заболеваний // Педиатр. – 2014. – Т. 5. – № 3. – С. 116–122. [Lihtshangof AZ. Main stages of studying hildhood infectious diseases. Pediatrician (St. Petersburg). 2014;5(3):116-122. (In Russ.)] https://doi.org/10.17816/PED53116-122.
- О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2009–2018 гг.: Государственные доклады. – М.: Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека. [O sostoyanii sanitarno-ehpidemiologicheskogo blagopoluchiya naseleniya v Rossiiskoi Federatsii v 2009–2018 gg.: Gosudarstvennye doklady. Moscow: Federal’naya sluzhba po nadzoru v sfere zashchity prav potrebitelei i blagopoluchiya cheloveka. (In Russ.)]
- Покровский В.И. Эпидемический паротит: руководство для врачей. М. – 2009. – 248 c. [Pokrovskij VI. Ehpidemicheskii parotit: rukovodstvo dlya vrachei. Moscow; 2009. 248 p. (In Russ.)]
- Садыкова А.А., Тобокалова С.Т. Интерферонотерапия эпидемического паротита у подростков // Детские инфекции. – 2012. – Т. 11. – № 4 — С. 54–57. [Sadykova AA, Tobokalova ST. Interferon Therapy of Epidemic Parotiditis in Adoloscents. Children’s infections. 2012;11(4):54-57 (In Russ.)]
- Селезнева Т.С., Заргарьянц А.И., Яковлева И.В. Эпидемиологические особенности эпидемического паротита на территории Российской Федерации в современных условиях // Эпидемиология и здоровье. – 2010. – № 5(54). – С. 12–23. [Selezneva TS, Zargaryants AI, Yakovleva IV. Epidemiological features of mumps in the Russian Federation in modern conditions. Epidemiology and health. 2010;(5):12-23 (In Russ.)]
- Тимченко В.Н. Эпидемический паротит — эволюция, причина бесплодного брака, современная терапия, экстренная профилактика. – СПб.: ЭЛБИ-СПб, 2007. – 261 с. [Timchenko VN. Epidemicheskij parotit — evolyuciya, prichina besplodnogo braka, sovremennaya terapiya, ekstrennaya profilaktika. Saint Petersburg, ELBI-SPb; 2007. 261 p. (In Russ.)]
- Инфекционные болезни у детей / под ред. В.Н. Тимченко. 4-е изд., испр. и доп. – СПб.: СпецЛит. – 2012. – 623 с. [Timchenko VN. Infekcionnye bolezni u detej. Saint Petersburg: SpecLit; 2012. 623 p. (In Russ.)]
- Тимченко В.Н., Павлова Е.Б., Михайлов И.Б., Хмилевская С.А. Диагностика и лечение детских инфекций. – СПб.: СпецЛит, 2020. – 476 с. [Timchenko VN, Pavlova EB, Mihajlov IB, Hmilevskaya SA. Diagnostika i lechenie detskikh infektsii. Saint Petersburg, SpecLit; 2020. 476 p. (In Russ.)]
- Харченко Г.А., Кимирилова О.Г. Эпидемический паротит у детей — актуальность проблемы // Детские инфекции. – 2017. – Т. 16. – № 3. – С. 28–31. [Kharchenko GA, Kimirilova OG. Mumps in children — the relevance of the problem. Children’s infections. 2017;16(3):28-31. (In Russ.)]
- Цинзерлинг А.В., Цинзерлинг В.А. Современные инфекции. Патологическая анатомия и вопросы патогенеза: Руководство. 2-е изд., доп. и перераб. – СПб.: Сотис, 2002. – 346 с. [Cinzerling AV, Cinzerling VA. Sovremennye infektsii. Patologicheskaya anatomiya i voprosy patogeneza: Rukovodstvo. 2-e izd., dop. i pererab. Saint Petersburg, Sotis; 2002. 346 p. (In Russ.)]
- Davis FN, McGuire B, Mahon JA, et al. The increasing incidence of mumps orchitis: a comprehensive review. BJU International. 2010;105(8):1060-1065. https://doi.org/10.1111/j.1464-410X.2009.09148.x.
- Hviid A, Rubin S, Mühlemann K. Mumps. Lancet. 2008;371(9616):932-944. https://doi.org/10.1016/S0140-6736(08)60419-5.
- Wharton IP, Chaudhry AH, French ME. A case of mumps epididymitis. Lancet. 2006;367(9511):702. https://doi.org/10.1016/S0140-6736(06)68274-3.
