title: [Brucella orchyoepididymitis: case report].
abstract: OBJECTIVE
  To report one case of unilateral acute orchiepididymitis due to Brucella and to review its diagnosis and treatment in the related literature.
  
  
  METHODS
  We report the case of a 37-year-old-male with undulant fever, scrotal pain and swelling and osteoarticular involvement. Diagnosis was obtained by anamnesis, blood cultures and specific serologic tests for Brucella.
  
  
  RESULTS
  Antibiotic therapy with orally administered Doxycycline (6 weeks) and im-administered Streptomycin (3 weeks). Complete clinical resolution was achieved.
  
  
  CONCLUSIONS
  We must perform an exhaustive anamnesis looking for a history of contact with animals or ingestion of contaminated dairy products in endemic areas of Brucella when facing the case of orchiepididymitis resistant to usual antibiotic therapy. The diagnosis is based on Brucella spp. isolation in blood cultures and on positive serologic tests (Rose Bengal test, standard seroagglutination test, anti-Brucella Coombs test, Brucellacapt test). Doxycycline with Streptomycin or Rifampin for 6 weeks seems to be the most adequate combinations of antibiotics. Surgical treatment only in exceptional cases.
authors.affiliation: Servicio de Urología, Unidad Médica de Alta Precoz, Complejo Hospitalario, Universitario de Santiago de Compostela, Santiago de Compostela, España. danielfentes@yahoo.es
authors.forename: Daniel
authors.initials: D
authors.lastname: Pérez Fentes
authors.forename: Miguel
authors.initials: M
authors.lastname: Blanco Parra
authors.forename: María
authors.initials: M
authors.lastname: Alende Sixto
authors.forename: Lema
authors.initials: L
authors.lastname: Grille José
authors.forename: Antonio
authors.initials: A
authors.lastname: Cimadevila García
authors.forename: Valentín
authors.initials: V
authors.lastname: Toucedo Caamaño
authors.forename: Pedro
authors.initials: P
authors.lastname: Lamas Cederrón
authors.forename: Manuel
authors.initials: M
authors.lastname: Villar Núñez
mesh_terms: D000328:Adult; D002006:Brucellosis / Q000175:diagnosis; D004823:Epididymitis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008297:Male; D009920:Orchitis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*