[Renal brucelloma: an exceptional pathology].
OBJECTIVE
To report one case of renal brucelloma, an extraordinarily rare pathology in our environment.


METHODS
51-year-old completely asymptomatic patient who was referred from his primary care physician for the study of a calcified image on the right renal area discovered in a x-ray control.


RESULTS
Radiological studies (US + CT scan + IVU) showed an irregular calcified mass in the lower pole of a non-functional right kidney. Microbiological diagnosis was negative. Radical nephrectomy was performed. Purulent material came out from the kidney during the operation, which cultured (+) to Brucella Melitensis. Pathologic study was compatible with renal brucelloma.


CONCLUSIONS
Genitourinary involvement by Brucella is second in frequency after osteoarticular, being orchyoepididymitis the most common clinical presentation, followed by prostatitis. Renal involvement is exceptional.
Herrero Polo
Enrique
E
Servicio de Urología, Hospital General de Elda, Elda, Alicante, España. kikampa@hotmail.com
Andréu García
A
A
Alapont Alacreu
José Miguel
JM
Brotons Márquez
J L
JL
Schiefenbusch Munné
Enrique
E
Botella Almodóvar
Roberto
R
Llamazares Cachá
Gonzalo
G
D002006:Brucellosis / Q000175:diagnosis*; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged