[Fever, swelling of testis and epididymis, poly-lymphadenopathy, splenomegaly]

An 18-year-old Turkish farmer was admitted to the hospital because of fever, painful scrotal swelling, generalized lymph-node enlargement and splenomegaly. After an incubation period of six days Brucella melitensis was isolated in blood culture. The diagnosis of acute brucellosis with lymphadenopathy, splenomegaly and epididymitis was made. He was treated with doxycycline and Rifampicin for six weeks and recovered completely. Three months after therapy he felt well. A relapse did not occur.