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- W4249156700 abstract "L’épididymite désigne l’inflammation de l’épididyme. Elle touche surtout l’adulte jeune, avec un pic de fréquence entre 20 et 40 ans. Le plus souvent, elle est secondaire à une infection et la voie habituelle de dissémination est rétrograde déférentielle. L’orchite, plus rare, désigne l’inflammation du testicule. Le plus souvent, elle est également secondaire à une infection. La voie de dissémination est soit hématogène, notamment virale (l’exemple le plus typique est l’orchite ourlienne), soit directe au contact d’une épididymite (il s’agit alors d’une orchi-épididymite vraie). Chez le patient de moins de 35 ans, dans un contexte d’urétrite et de suspicion de maladie sexuellement transmissible, le traitement idéal est représenté par les tétracyclines, éventuellement par voie intraveineuse dans un premier temps. Elles sont efficaces sur Chlamydia trachomatis mais également sur le gonocoque. Contre ce dernier, d’autres antibiotiques peuvent être prescrits notamment la ceftriaxone. Les macrolides et les quinolones de deuxième génération sont également efficaces sur C. trachomatis. La durée habituelle du traitement est de trois semaines. Le bilan et le traitement des partenaires sont obligatoires. Chez les patients de plus de 35 ans, dans un contexte de bactériurie, de pathologie urologique connue ou manifeste ou de manipulation ou intervention endo-urétrale récente, le traitement peut s’effectuer par voie orale dans les formes modérées et fait appel au cotrimoxazole fort ou aux quinolones de deuxième génération. Dans les formes sévères, le traitement est hospitalier et parentéral (association aminoside–céphalosporine) avec relais par voie orale par cotrimoxazole ou quinolones de deuxième génération. Le traitement est éventuellement rectifié en fonction de l’antibiogramme. The term orchiepididymitis encompasses inflammation of the epididymis and/or testis, i.e. epididymitis, orchitis, and true orchiepididymitis. Epididymitis is defined as inflammation of the epididymis. Young adults are predominantly affected, with a frequency peak between 20 and 40 years of age. The cause is usually an infectious agent, and the main route of access to the epididymis is retrograde propagation through the vas deferens. From puberty to 35 years of age, many cases are sexually transmitted. The main causative agents are Chlamydia trachomatis and Neisseria gonorrhoeae. In prepubertal children and in adults older than 35 years of age, epididymitis is among the commonplace genitourinary infections usually caused by enterobacteria. A urinary tract abnormality, most notably an obstruction of the distal urinary tract, is often the cause of the infection. Orchitis, a less common condition, is defined as inflammation of the testis. Again, most cases are related to an infection. Dissemination of the organism occurs either via the bloodstream, particularly with viruses (the most classic example being orchitis due to mumps) or by direct spread from a focus in the epididymis (producing true orchiepididymitis). In patients younger than 35 years of age who have urethritis and suspected sexually transmitted disease, tetracyclines are the best agents and can be given intravenously at first if needed. Tetracyclines are effective not only on C. trachomatis but also on N. gonorrhoeae. This last agent also responds to other antimicrobials, such as ceftriaxone. Macrolides and second-generation quinolones are also effective on C. trachomatis. Typically, treatment is given for 3 weeks. Sexual partners should be evaluated and treated. In patients older than 35 years who have positive urine cultures for bacteria, urinary tract symptoms, a prior diagnosis of a urinary tract abnormality, or a history of a recent endourethral procedure, treatment can be given orally provided the symptoms are of moderate intensity. Either extra-strength cotrimoxazole or second-generation quinolones should be used. Patients with severe disease should be admitted for parenteral therapy with an aminoglycoside and a cephalosporin in combination, followed by oral cotrimoxazole or a second-generation quinolone. If needed, the antibiotics should be changed according to antibiotic susceptibility test results." @default.
- W4249156700 created "2022-05-12" @default.
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- W4249156700 date "2003-12-01" @default.
- W4249156700 modified "2023-10-16" @default.
- W4249156700 title "Orchi-épididymites" @default.
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- W4249156700 doi "https://doi.org/10.1016/j.anuro.2003.01.002" @default.
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