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Prostatitis and hepatitis due to Brucella melitensis: a case report
B Aygen1, B Sümerkan, M Doğanay
1Department of Infectious Diseases, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
The Journal of Infection
|November 20, 1998
Summary
Brucella melitensis can cause prostatitis and hepatitis in men. This case highlights the importance of considering Brucellosis in patients with urinary and liver symptoms.
Area of Science:
- Infectious Diseases
- Hepatology
- Urology
Background:
- Brucellosis is a zoonotic disease with diverse clinical manifestations.
- Brucella melitensis is a common cause of human brucellosis worldwide.
- Prostatitis and hepatitis are less common presentations of Brucellosis.
Observation:
- A 43-year-old man presented with symptoms including jaundice, fatigue, fever, and urinary discomfort.
- Physical examination revealed jaundice and enlarged liver and spleen.
- Laboratory tests showed lymphomonocytosis, elevated ESR, and abnormal liver function tests.
Findings:
- Brucella melitensis was successfully isolated from the patient's prostatic fluid and blood cultures.
- This confirmed a diagnosis of prostatitis and hepatitis due to Brucella melitensis.
Implications:
- This case underscores the importance of considering Brucellosis in the differential diagnosis of prostatitis and hepatitis.
- Early diagnosis and appropriate antibiotic treatment are crucial for favorable outcomes in Brucellosis.
- Further research may elucidate the specific mechanisms of Brucella-induced prostatitis and hepatitis.