[Acute prostatitis as the 1st symptom of brucellosis].
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.
Rosales Leal
José Luis
JL
Servicio de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. jrosal@fundacionhvn.org
Tallada Buñuel
Miguel
M
Espejo Maldonado
Eduardo
E
Cózar Olmo
José Manuel
JM
Vicente Prados
Francisco Javier
FJ
Martínez Morcillo
Antonio
A
Buitrago Sivianes
Soledad
S
Rodríguez Herrera
Francisco
F
Ortiz Gorráiz
Manuel
M
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
D004318:Doxycycline; D013307:Streptomycin