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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
PubMed
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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.

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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.