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Updated: Aug 7, 2026
06:23
Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Brucella epididymo-orchitis: a consideration in endemic area
1Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran, Saudi Arabia. jaffar.tawfiq@aramco.com
Summary
Brucellosis can cause epididymo-orchitis, a testicular infection. This case report highlights a Saudi male patient successfully treated for Brucella epididymo-orchitis, emphasizing its consideration in endemic areas.
Area of Science:
- Infectious Diseases
- Urology
- Public Health
Background:
- Brucellosis is a zoonotic bacterial infection caused by Brucella species.
- Epididymo-orchitis, inflammation of the epididymis and testicle, is a known complication of brucellosis, affecting up to 20% of cases.
- Early diagnosis and treatment are crucial for managing Brucella infections and preventing complications.
Observation:
- A case report details a Saudi male patient presenting with unilateral left testicular swelling.
- Symptoms included fever, joint pain (arthralgia), and night sweats.
- Ultrasound revealed an enlarged left epididymis and testicle.
Findings:
- Brucella serology tests were positive, confirming the diagnosis.
- The patient showed a positive response to treatment with doxycycline and gentamicin.
- This case underscores the link between Brucella infection and epididymo-orchitis.
Implications:
- Brucella infection should be included in the differential diagnosis for epididymo-orchitis, particularly in patients from endemic regions.
- Prompt recognition and appropriate antibiotic therapy are essential for favorable outcomes.
- Public health awareness regarding zoonotic diseases like brucellosis is vital in endemic areas.
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