Crimean-Congo haemorrhagic fever presenting as epididymo-orchitis.

BACKGROUND

Crimean-Congo haemorrhagic fever (CCHF) is a potentially fatal disease caused by a tick-borne virus.

OBJECTIVES

A 53-year-old man presented with fever and acute painful scrotal swelling simulating acute epididymo-orchitis.

STUDY

DESIGN

Based on the clinical and epidemiological findings, CCHF virus infection and epididymo-orchitis were suspected. This symptom, rarely reported in viral haemorrhagic fevers, was observed in this case.

RESULTS

The diagnosis was confirmed by detection of the IgM antibody to CCHF virus and positive RT-PCR.

CONCLUSION

We report the first case of imported CCHF presenting as epididymo-orchitis. This symptom is a rare complication of CCHF, and the clinician should consider this entity in the differential diagnosis of adults with epididymo-orchitis.