ntroduction: Incidence mumps infection has declined since the introduction of the inevitable MRP vaccination during the stage of childhood. In Bosnia and Herzegovina (BIH), from a period of February 2011 until today, there is an evident inclination of the recorded cases of the mumps infection. Orchitis usually occurs in between 3 to 10 days after the parotitis and is found with the post-puberty population. Aim: The aim of the study is to confirm the changes that occur during an early stage of the spermiogram and hormonal status, and after treated mumps orchitis, the patients treated in the Clinic for the Infectious Diseases. Patients and Methods: Retrospectively, the analysis of 54 historical diseases was undertaken. During the research stage, the patients after being discharged have made an inquiry to our clinical consultancy units with final results of the spermiogram and hormone-FSH, LH and testosteron. The data analysis was processed with the SPSS program for Windows. Results: the average length of the hospitalization period was in between 8 (medium) days, and average age M (mean) = 21, 9±5,4 years. The speriogram of the treated patients was undertaken one month after the acute phase of the disease and has shown the following results: azoospermia with 14 patients (25,9%), oligospermia with 30 patients (55,6%) and normospermia with 10 patients (18,5%). During the hormonal status with 11 patients (20,4%), the results have shown the inclination of the value in FSH hormons, with 11 patients (20,4%), have shown the lesser value of the testosterons. Conclusion: The current study suggests that post-orhitis atrofia is expected within a period of 2-3 months after the infection, and thus, the monitoring on the patients' treatment would continue. The male infertility as a result of mumps ocrhitis is controversial and continues to be the thematic issue as well as the effect of orchitis on testicular endocrine function.

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AbstractsAn 11 year-old boy was admitted to our hospital because of high fever, gross hematuria and pain in abdomen. He also had hypertension, nephrotic range proteinuria with renal failure, for which hemodialysis was required. Salmonella Typhi was isolated from blood culture and was diagnosed to have typhoid fever. In view of low C3 levels, renal biopsy was done, showed evidence of proliferative glomerulonephritis. On discharge, he had mildly deranged renal function with persistence of gross hematuria and proteinuria which gradually resolved over a period of one year. Renal involvement with enteric fever is noticed only in 2-3% cases. The common complications of typhoid related to the urinary tract include cystitis, pyelitis, pyelonephritis, and mild proteinuria. Few cases have been reported of acute nephritic syndrome in typhoid fever requiring renal replacement therapy. Here, we report a case of Salmonella typhi septicemia associated with acute renal failure secondary to proliferative glomeronephritis.requiring renal replacement therapy.