한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제16권11호
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  • Pages.767-775
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  • 2016
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  • 1598-4877(pISSN)
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  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
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볼거리 고환염에 따른 무정자증: 2례

Azoospermia Following Mumps Orchitis:2 Case

  • 심현선 (고려대학교 보건과학대학 방사선학과/인구보건복지협회)
  • 투고 : 2016.09.20
  • 심사 : 2016.11.04
  • 발행 : 2016.11.28
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초록

볼거리(mumps)는 타액선을 비롯한 전신에 침범하는 급성 바이러스성 염증 질환으로 일측성 또는 양측성 이하선의 종창과 통증을 동반한다. 볼거리 바이러스는 공기, 타액, 소변으로 다른 사람들에게 전파 되고, 학교, 군대 등 인구밀도가 높은 집단에서 발생하며 양측 고환에 침범하는 경우는 10-60% 정도이다. 사춘기 이후에 남성 볼거리 고환염(mumps orchitis)에 이완되는 경우 1-2개월 후에 감염자의 50%에서 심한 고환 위축과 같은 합병증이 발생한다. 볼거리 고환염은 정자 수, 형태, 운동성 등에 영향을 미치고 정자감소증과 드물게 무정자증으로 인한 불임이 발생한다. 볼거리 고환염이 의심되는 경우 초기 대증적 치료를 적극적으로 함으로써 장차 성인이 되었을 때 무정자증으로 인한 불임을 예방할 수 있을 것으로 생각된다. 본 증례에서는 볼거리 고환염을 앓은 후 무정자증을 보인 2례를 경험하였기에 초음파검사와 정액검사에 대해 참고문헌과 함께 보고하고자 한다.

Mumps is an acute viral disease that affects the entire body, including inflammation of the salivary glands. Mumps is accompanied by unilateral or bilateral parotid gland swelling and pain. Mumps virus is spread to others by air, saliva, direct contact, and urine, and occurs in high-density population places such as schools, army, etc. Bilateral testicular involvement is seen in 10-60% of cases. If mumps orchitis affect post-pubertal men, approximately 50% of the infected people are said to experience severe testicular atrophy within 1-2 months as a complication. Mumps orchitis can alter the count, morphology, and motility of sperm and result in oligozoospermia and infertility caused by a rare azoospermia. When suspected of mumps orchitis, active initial symptomatic treatment can prevent infertility due to azoospermia in future adults. A case of mumps orchitis report two cases with references to the ultrasonnography and semen.

키워드

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