Skip to main content
SpringerLink
Log in
Book cover

Encyclopedia of Pathology pp 1–5Cite as

Infectious Disease of the Testis

  • Living reference work entry
  • First Online:

  • 113 Accesses

Part of the book series: Encyclopedia of Pathology ((EP))

In more than 50% of cases, infections affect both the testis and the epididymis (orchioepididymitis). Infections can be divided into acute and chronic depending on the etiologic agent and the duration of infection. Germs reach testis and epididymis in several ways: hematogenous, retrograde if there is urine reflux seminal vesicle-epididymis, lymphatic, or direct from a trauma or wound. Germs that arrive by hematogenous route affect the testicle and produce orchitis. Infectious agents that reach through excretory ducts lead to epididymitis (Nistal et al. 2016).

Epididymitis and Acute Orchioepididymitis

Clinically, the epididymis or, where appropriate, the testicle are congestive, thickened, edematous with fibrinopurulent exudate. The most frequent etiology is bacterial, followed by viral and those caused by parasites.

Bacterias: In childhood, bacterial germs that cause epididymitis are preferably coliforms, in young adults, Neisseria gonorrhoeae and Chlamydia trachomatisand in elder...

This is a preview of subscription content, log in via an institution.

References and Further Reading

  • Bosilkovski, M., Kamiloski, V., Miskova, S., Balalovski, D., Kotevska, V., & Petrovski, M. (2018). Testicular infection in brucellosis: Report of 34 cases. Journal of Microbiology, Immunology, and Infection, 51, 82–87.

    Article  Google Scholar 

  • Janssen, K. M., Willis, C. J., Anderson, M., Gelnett, M. S., Wickersham, E. L., & Brand, T. C. (2017). Filariasis Orchitis-differential for acute scrotum pathology. Urology Case Reports, 13, 117–119.

    Article  Google Scholar 

  • Moazenchi, M., Totonchi, M., Salman Yazdi, R., Hratian, K., Mohseni Meybodi, M. A., Ahmadi Panah, M., Chehrazi, M., & Mohseni Meybodi, A. (2018). The impact of chlamydia trachomatis infection on sperm parameters and male fertility: A comprehensive study. International Journal of STD & AIDS, 29, 466–473.

    Article  CAS  Google Scholar 

  • Nistal, M., Paniagua, R., González-Peramato, P., & Reyes-Múgica, M. (2016). Perspective in pediatric pathology, chapter 24. Testicular inflammatory processes in pediatric patients. Pediatric and Developmental Pathology, 19, 460–470.

    Article  Google Scholar 

  • Ryan, L., Daly, P., Cullen, I., & Doyle, M. (2018). Epididymo-orchitis caused by enteric organisms in men > 35 years old: Beyond fluoroquinolones. European Journal of Clinical Microbiology & Infectious Diseases, 37, 1001–1008.

    Article  Google Scholar 

  • Yamashita, S., Umemoto, H., Kohjimoto, Y., & Hara, I. (2017). Xanthogranulomatous orchitis after blunt testicular trauma mimicking a testicular tumor: A case report and comparison with published cases. Urology Journal, 14, 3094–3096.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anatomy, Histology and Neuroscience, Universidad Autónoma de Madrid, Madrid, Spain

    Manuel Nistal

  2. Department of Pathology, Universidad Autónoma de Madrid, Madrid, Spain

    Pilar González-Peramato

  3. Department of Pathology, University Hospital La Paz, Madrid, Spain

    Pilar González-Peramato

Authors
  1. Manuel Nistal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pilar González-Peramato
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Manuel Nistal .

Editor information

Editors and Affiliations

  1. NIJMEGEN, The Netherlands

    J.H.J.M. van Krieken

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Nistal, M., González-Peramato, P. (2019). Infectious Disease of the Testis. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4830-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28845-1_4830-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28845-1

  • Online ISBN: 978-3-319-28845-1

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation