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Relapse of brucellosis simulating testis tumor
Izzet Kocak1, Mehmet Dündar, Nil Culhaci
1Department of Urology, Adnan Menderes University Faculty of Medicine, Aydin 09110, Turkey. ikocak@adu.edu.tr
Summary
A painless testicular mass in a patient with a history of brucellosis may indicate a rare testicular abscess relapse. This diagnosis is crucial for patients in endemic regions, even without systemic symptoms.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Brucellosis is a systemic infection endemic in many regions.
- Testicular involvement in brucellosis can manifest in various ways, including epididymo-orchitis.
- Atypical presentations of brucellosis, such as isolated testicular abscess, are less common.
Observation:
- A 32-year-old man presented with a painless left testicular mass, initially suspected to be a testicular tumor.
- The patient had a 3-year history of systemic brucellosis but no prior epididymo-orchitis.
- Following a radical inguinal orchidectomy, clinical and histopathological examination revealed a brucellar abscess of the testis.
Findings:
- Histopathological analysis confirmed the testicular mass was a brucellar abscess.
- The case highlights a rare manifestation of brucellosis relapse.
- Absence of systemic symptoms did not preclude localized testicular infection.
Implications:
- Brucellosis relapse should be considered in the differential diagnosis of testicular masses, particularly in endemic areas.
- Early recognition and appropriate treatment of brucellar testicular abscess are essential.
- This case underscores the importance of considering brucellosis in patients with testicular masses, even with a history of treated infection.