Headache and testicular pain.

A 40 year old architect presents to you with severe headache and testicular pain. He has been unwell for several days with illness that started with influenzal-type symptoms with a mild pharyngitis and myalgias. His headache has become increasingly more severe in the past 36 hours and is occipital in location. His testicular pain has become more intense in the past 24 hours. Examination discloses a temperature of 38.2 degrees C and moderate meningism. There are no focal neurological signs. His right testis is exquisitely tender to palpation. He has had no significant past history of note.