title: [Acute prostatitis as the 1st symptom of brucellosis].
abstract: OBJECTIVE
  To report a case of acute prostatitis as the first symptom of brucellosis.
  
  
  METHODS
  43-year-old patient who presented with a clinical picture of acute prostatitis and a febrile syndrome for seven days. Physical exam, blood and urine analysis and microbiological tests, and specific serologic studies were performed.
  
  
  RESULTS
  Microbiological diagnosis was negative for bacteria, but Bengala pink (+), antibrucella serum agglutination (+) 1/320, and anti-Brucella Coombs test (+) 1/5120. Specific treatment was started with doxycyclin 100 mg b.i.d for 45 days and streptomycin 1 gr o.d for 15 days, with a positive outcome.
  
  
  CONCLUSIONS
  The genitourinary tract is the second most frequent localization, being the testicle the most frequently affected organ, although it can also be localized in other areas of the urinary tract.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. jrosal@fundacionhvn.org
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rosales Leal
authors.forename: Miguel
authors.initials: M
authors.lastname: Tallada Buñuel
authors.forename: Eduardo
authors.initials: E
authors.lastname: Espejo Maldonado
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Cózar Olmo
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Vicente Prados
authors.forename: Antonio
authors.initials: A
authors.lastname: Martínez Morcillo
authors.forename: Soledad
authors.initials: S
authors.lastname: Buitrago Sivianes
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez Herrera
authors.forename: Manuel
authors.initials: M
authors.lastname: Ortiz Gorráiz
mesh_terms: D000208:Acute Disease; D000328:Adult; D002006:Brucellosis / Q000175:diagnosis* / Q000188:drug therapy; D003298:Coombs Test; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011472:Prostatitis / Q000188:drug therapy / Q000382:microbiology*; D013194:Staining and Labeling; D013307:Streptomycin / Q000627:therapeutic use
chemical_list: D004318:Doxycycline; D013307:Streptomycin