The coronavirus disease 2019 (COVID-19) is still striking the global population affecting all age groups. So far, many clinical features associated with COVID-19 illness remain under-identified, especially atypical manifestations. It is essential to characterize associated rare symptoms to better recognize complications. As severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes Multisystem Inflammatory Syndrome in children (MIS-C) in severe infection manifesting as a generalized inflammatory reaction and immune response in many body systems, potential involvement of the male urogenital tract by SARS-CoV-2 should be considered. Herein, we report a case of a pediatric patient with orchiepididymitis associated with COVID-19 infection, emphasizing the importance of considering other manifestations such as genital involvement of MIS-C in children with COVID-19 and highlighting the need to monitor the genitourinary function after infection. Therefore, andrological consultation is necessary to evaluate fertility as a long-term follow-up, especially as the effects of SARS-CoV-2 on male reproductive function are still to be thoroughly researched.

Objective: Coronavirus disease 2019 (COVID-19) is spreads in 216 countries and territories among the world including all Eastern Mediterranean Region countries. The aim of the present study was to examine variation of COVID-19 in different income class countries of the Eastern Mediterranean Region. Methods: Five parameters such as the percentage of variation COVID-19 confirmed cases, the percentage of variation number of deaths, death rate per 1000 confirmed cases, the percentage of variation death rate per 1000 confirmed cases, and tests per one million were calculated. Results: The results demonstrated that all Eastern Mediterranean Region countries increase in percentage of COVID-19 confirmed cases except Tunisia, the increasing range from 53.5% in Libya to 4.7% in Morocco. Death rate per 1000 confirmed cases range from 230.1 in Yemen to 0.92 in Qatar. Majority of countries increase in percentage of COVID-19 deaths cases number, which range from 43.7% in Iraq to 1.4% in Morocco. Fourteen countries decrease in percentage of death rate per 1000, the decreasing range from 34.9% in Libya to 0.09 in Yemen. The tests per one million range from 265687 in United Arab Emirate to four in Yemen. Conclusion: The current study findings showed significant variations between the Eastern Mediterranean Region countries, the substantial variation is concerning. The low-income countries appeared more vulnerable compared to high-income countries; the low-income countries should not be alone with this pandemic. Hence then global should be helping these countries and particular plans have to be employed. These must include screening tests COVID-19 virus.

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