Crimean-Congo haemorrhagic fever presenting as epididymo-orchitis

Abstract

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.