Viral<unk>  (mumps): supportive care, cold packs, scrotal elevation, analgesia.
Bacterial<unk>  (epididymo-orchitis):
<35yo (assume sexually transmitted):
Ceftriaxone 250mg IM x1 AND
Doxycycline 100mg PO BID x14 days OR Azithromycin 1gm x1
Also treat sexual partner
>35yo, history of anal intercourse or non-sexually active:
Ofloxacin 300mg PO BID x14 days OR levofloxacin 500mg QD x10 days OR ciprofloxacin 500mg PO BID x14 days
IV: piperacillin/taxobactam 3.375g IV q6 or ampicillin/sulbactam 3g IV q6
<35yo (assume sexually transmitted):
Ceftriaxone 250mg IM x1 AND
Doxycycline 100mg PO BID x14 days OR Azithromycin 1gm x1
Also treat sexual partner
>35yo, history of anal intercourse or non-sexually active:
Ofloxacin 300mg PO BID x14 days OR levofloxacin 500mg QD x10 days OR ciprofloxacin 500mg PO BID x14 days
IV: piperacillin/taxobactam 3.375g IV q6 or ampicillin/sulbactam 3g IV q6
Ceftriaxone 250mg IM x1 AND
Doxycycline 100mg PO BID x14 days OR Azithromycin 1gm x1
Also treat sexual partner
Ofloxacin 300mg PO BID x14 days OR levofloxacin 500mg QD x10 days OR ciprofloxacin 500mg PO BID x14 days
IV: piperacillin/taxobactam 3.375g IV q6 or ampicillin/sulbactam 3g IV q6
Orchitis
Scrotal cellulitis
Dacryocystitis
Epididymitis
Fournier gangrene
Vulvovaginitis
Hematocele
Uvulitis