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[[Brucellar orchiepididymitis with abscess]
F J González Sánchez1, M B Encinas Gaspar, S Napal Lecumberri
1Servicio de Radiodiagnóstico, Hospital Santos Reyes, Aranda de Duero, Burgos, España.
Archivos Espanoles De Urologia
|April 1, 1997
Summary
Brucella infection can cause acute scrotum, even in patients with prior remission. Abscess-forming epididymo-orchitis due to Brucella requires consideration in endemic areas, distinct from tumors.
Area of Science:
- Urology
- Infectious Diseases
- Pathology
Background:
- Brucella infection can manifest in the scrotum, presenting diagnostic challenges.
- Acute scrotum requires a broad differential diagnosis, including infectious etiologies.
Observation:
- A case of recurrent Brucella epididymo-orchitis with abscess formation is presented.
- Clinical presentation included testicular pain and inflammation, with elevated Brucella titers.
- Ultrasound revealed testicular enlargement with hypoechoic areas suggestive of abscess.
Findings:
- Histopathology confirmed acute abscess-forming epididymo-orchitis with granulomatous involvement.
- Brucella serology was positive, despite prior treatment for systemic brucellosis.
- The patient underwent orchidectomy due to poor response to antibiotic therapy.
Implications:
- Brucella epididymo-orchitis should be considered in acute inflammatory scrotum cases in endemic regions.
- Distinguishing Brucella-related orchitis from neoplasms and other infections is crucial.
- Early recognition and appropriate treatment are vital to prevent testicular loss.