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- Original Article Outbreaks and Seasonal Variation of Mumps Orchitis: Report of Multicenter Data in Korea
- Hoon Choi, Jae Hyun Bae, Seung Il Jung, Seung Ki Min, Tae Hyung Kim, Yong Gil Na, Gil Ho Lee
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볼거리 고환염의 발생 양상 및 계절별 빈도 분석: 한국의 다기관연구 - 최 훈, 배재현, 정승일, 민승기, 김태형, 나용길, 이길호
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Urogenital Tract Infection 2013;8(1):43-46.
Published online: April 30, 2013
Department of Urology, Korea University College of Medecine, Seoul,
1Department of Urology, Chonnam National University Medical School, Gwangju,
2Department of Urology, National Police Hospital, Seoul,
3Department of Urology, Chung-Ang University College of Medicine, Seoul,
4Department of Urology, Chungnam National University School of Medicine, Daejeon,
5Department of Urology, Dankook University Medical College, Cheonan, Korea
고려대학교 의과대학 비뇨기과학교실,
1전남대학교 의과대학 비뇨기과학교실,
2국립경찰병원 비뇨기과,
3중앙대학교 의과대학 비뇨기과학교실,
4충남대학교 의과대학 비뇨기과학교실,
5단국대학교 의과대학 비뇨기과학교실
1Department of Urology, Chonnam National University Medical School, Gwangju,
2Department of Urology, National Police Hospital, Seoul,
3Department of Urology, Chung-Ang University College of Medicine, Seoul,
4Department of Urology, Chungnam National University School of Medicine, Daejeon,
5Department of Urology, Dankook University Medical College, Cheonan, Korea
고려대학교 의과대학 비뇨기과학교실,
1전남대학교 의과대학 비뇨기과학교실,
2국립경찰병원 비뇨기과,
3중앙대학교 의과대학 비뇨기과학교실,
4충남대학교 의과대학 비뇨기과학교실,
5단국대학교 의과대학 비뇨기과학교실
Received: 21 March 2013 • Revised: 16 April 2013 • Accepted: 17 April 2013
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Abstract
Purpose: Mumps is an infectious viral disease that often results in painful swelling of testis preceded by parotitis. We report multicenter data on mumps orchitis from five community hospitals.
Materials and Methods: From January 2011 to December 2012, 98 patients diagnosed with acute mumps orchitis were treated at five community hospitals in different districts of Korea. As a report on an outbreak of mumps orchitis, age, bilaterality, monthly occurrence frequency, and vaccination status were recorded retrospectively.
Results: The mean age of the 98 patients was 19.7 (range from 10 to 38) years old. Age distribution of patients included 60 teens (61.2%), 31 in their twenties (31.6%), and seven in their thirties (7.2%). No evidence of a previous mumps vaccination was found in medical records from six patients (6.1%), and the vaccination status of one patient was unknown. Bilateral orchitis was noted in eight patients (8.2%), and 90 patients (91.8%) had unilateral orchitis. Right-sided orchitis was noted in 50 patients (51.0%), and left-sided orchitis was noted in 40 patients (40.8%). Autumn (September to November) was the most prevalent season, with 35 outbreaks (35.7%). Seasonal outbreaks occurred in 13 patients (13.2%) in spring (3rd- 5th), 24 patients (24.7%) in summer (6th-8th), and 26 patients (26.4%) in winter (12th-2nd).
Conclusions: In spite of continued vaccination, mumps orchitis is still a prevalent disease. Therefore, due to a large number of outbreaks, mumps orchitis should still be considered, especially in teenagers and during autumn season. Conduct of additional long-term follow-up and large prospective studies is needed in Korea.
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