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Published on: August 5, 2016
Epididymoorchitis as the first finding in patients with brucellosis
Ayhan Karaköse1, Mehmet Bilgehan Yuksel2, Ozgü Aydoğdu1
1Izmir University School of Medicine, Department of Urology, 35200 Izmir, Turkey.
Brucellosis can present as epididymoorchitis, a rare initial symptom of acute scrotal pain in men. Early diagnosis and treatment with antibiotics and conservative management are effective, with no observed relapses.
Area of Science:
- Infectious Diseases
- Urology
- Microbiology
Background:
- Brucellosis is a zoonotic infection with diverse clinical manifestations.
- Acute scrotal pain is an uncommon initial presentation of brucellosis.
Purpose of the Study:
- To evaluate male patients diagnosed with brucellosis presenting with epididymoorchitis as the primary symptom.
- To assess the clinical, laboratory, and radiological features of brucellar epididymoorchitis.
Main Methods:
- Retrospective review of seven male patients with acute scrotal pain and suspected brucellosis.
- Evaluation of clinical presentation, serological tests (Rose-Bengal, Wright, Coombs), and treatment outcomes.
Main Results:
- All seven patients presented with scrotal pain, swelling, and increased sweating.
- Positive Rose-Bengal and Wright agglutination tests were observed in all patients.
- Antibiotic and conservative treatment resulted in no relapses.
Conclusions:
- Epididymoorchitis due to brucellosis should be considered in the differential diagnosis of acute scrotal pain in endemic areas.
- Clinical and serological findings are sufficient for diagnosis.
- Conservative management with antibiotics is effective for brucellar epididymoorchitis.
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