RT Book, Section A1 Moore, Sarah A1 Pedigo, Ryan A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181041185 T1 Orchitis T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041185 RD 2024/04/24 AB Orchitis has a variable onset and ranges from mildly uncomfortable to severely painful. It is most frequently a complication of epididymitis, but isolated orchitis without epididymitis can be caused by mumps infection and, more rarely, other viruses. Mumps orchitis occurs 4 to 7 days after parotid symptoms with testicular pain and swelling. It is unilateral 70% of the time with a contralateral infection developing later 30% of the time. The testicle is swollen and tender, sparing the epididymis. The overlying scrotal skin can be edematous and erythematous. Constitutional symptoms of malaise, headache, myalgias, and fever are common.