Acute Epididymo-Orchitis

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Acute scrotal swelling may occur in persons with acute epididymo-orchitis, testicular torsion and scrotal trauma, and in those with irreducible or strangulated inguinal hernia. Patients should be examined carefully in order to exclude these conditions. If patients do not respond to first line therapy, they should be referred for further investigations.

First Line:

	Medicine	Adult dose	Frequency	Duration
	ceftriaxone im	250mg	one dose only	-
or	kanamycin im	2g [1g into each buttock]	one dose only	-
and	doxycycline po	100mg	twice a day	for 10 days
or	erythromycin po	500mg	four times a day	for 14 days