Mumps orchitis
ICD-10 B08.4 is a billable code used to indicate a diagnosis of mumps orchitis.
Mumps orchitis is a viral infection characterized by inflammation of one or both testicles, typically occurring as a complication of mumps, a contagious viral disease caused by the mumps virus. The condition is most commonly seen in post-pubertal males, where it can lead to significant discomfort, swelling, and potential complications such as infertility. Orchitis usually presents with acute onset of testicular pain, swelling, and tenderness, often accompanied by systemic symptoms such as fever, malaise, and headache. Diagnosis is primarily clinical, supported by the patient's history of mumps infection or vaccination status. Laboratory tests may include serological assays to detect mumps virus-specific IgM antibodies. Vaccination against mumps, typically administered as part of the MMR (measles, mumps, rubella) vaccine, has significantly reduced the incidence of mumps orchitis in vaccinated populations. However, outbreaks can still occur, particularly in unvaccinated individuals or in communities with low vaccination rates. Complications of mumps orchitis can include atrophy of the testis, chronic pain, and, in rare cases, infertility, particularly if both testicles are affected.
Detailed clinical notes on symptoms, physical examination findings, and any imaging or laboratory results.
Patients presenting with testicular pain and swelling, particularly following a recent mumps infection.
Ensure to document any potential complications such as infertility or chronic pain.
Comprehensive history of exposure, vaccination status, and laboratory confirmation of mumps infection.
Outbreaks of mumps in unvaccinated populations leading to orchitis cases.
Focus on the epidemiology of mumps and its complications.
Used to evaluate testicular swelling in suspected orchitis.
Indication for ultrasound must be clearly documented.
Urologists may frequently order this test for diagnosis.
Common symptoms include sudden onset of testicular pain, swelling, tenderness, fever, and malaise. Patients may also experience systemic symptoms associated with mumps.