Epididymitis associated with Dengue

Abstract

Objective: Describe a rare case of dengue-associated epididymitis, emphasizing its presentation, diagnosis, treatment, and prognosis, aiming to enhance awareness among healthcare professionals. Case details: A 27-year-old male with no prior comorbidities presented with a 7-day history of fever, myalgia, anorexia, and a positive dengue IgM test, followed by 24-hour onset of unilateral testicular pain. Physical examination revealed a painful, engorged left epididymis without scrotal erythema or nodules. Scrotal ultrasound with Doppler confirmed epididymitis, with no bacterial infection detected in urinalysis or culture. The patient received symptomatic treatment, including analgesics and hydration, and was monitored for symptom progression. The patient achieved full symptomatic resolution within five days of conservative treatment. A semen analysis conducted one month post-recovery demonstrated normal parameters, indicating no lasting impact on fertility. The clinical presentation of epididymitis was attributed to dengue infection, supported by exclusion of other common etiologies. Final considerations: A rare manifestation of dengue is evidenced, including epididymitis in its clinical spectrum. Diagnosis requires a detailed history, physical examination, and imaging to differentiate it from other causes of acute scrotum. Awareness of this association is crucial for prompt identification and management, ensuring favorable outcomes.