[Brucella orchitis: A retrospective study of 69 cases]

Area of Science:

• Infectious Diseases
• Epidemiology
• Urology

Background:

• Brucella orchitis is a significant complication of brucellosis.
• Understanding its epidemiological profile is crucial for public health.
• Clinical manifestations and diagnostic challenges require further investigation.

Purpose of the Study:

• To investigate the epidemiological characteristics of Brucella orchitis.
• To describe clinical manifestations, diagnosis, and treatment strategies.
• To provide evidence for disease prevention and management.

Main Methods:

• Retrospective analysis of medical records.
• Inclusion of outpatient and inpatient cases.
• Statistical analysis of epidemiological and clinical data.

Main Results:

• Brucella orchitis diagnosed in 6.67% of male brucellosis patients.
• Higher incidence in individuals with sheep contact, elderly, during April-July, and in sheep husbandry areas.
• Common symptoms include testicular pain/swelling, fever, chills, sweating, joint pain; erectile dysfunction observed in 45 patients.
• Early misdiagnosis is common; treatment with doxycycline and rifampicin effective but relapses possible.

Conclusions:

• Brucella orchitis has distinct epidemiological features and clinical signs like testicular pain and swelling.
• The condition temporarily impacts reproductive function.
• Effective treatment involves combined oral/intravenous antibiotics, with supportive care for pain and swelling.