[Brucellar orchiepididymitis].
Brucellosis is a cause of human disease, especially in regions whose brucellosis in animals is enzootic. Brucella orchitis is a rare complication of systemic brucellosis (2-14%). Necrotizing orchitis is posible and it must be distinguished from necrotizing involvement arising from other pathogens (TB or Salmonella). Treatment with specific antimicrobial medication helps to avoid unnecessary orchiectomy and prevent infectious disease in the contralateral testis as well as systemic manifestations. We report a case of brucellar epididymo-orchitis presenting as an acute scrotal mass in a 19 years old male who lived in a city. The anamnesis was crucial in the diagnosis of this rare testicular infection. We review the diagnosis and management of this patology.
Alapont Alacreu
J M
JM
Servicio de Urología, Hospital Universitario La Fe, Valencia. jmalapont@mundofree.com
Gómez López
L
L
Delgado
F
F
Palmero Martí
J L
JL
Pacheco Bru
J J
JJ
Pontones Moreno
J L
JL
Jiménez Cruz
J F
JF
D000328:Adult; D002006:Brucellosis; D004823:Epididymitis / Q000150:complications / Q000382:microbiology*; D006801:Humans; D008297:Male; D009920:Orchitis / Q000150:complications / Q000382:microbiology*