[Brucella orchyoepididymitis: case report].
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.
Pérez Fentes
Daniel
D
Servicio de Urología, Unidad Médica de Alta Precoz, Complejo Hospitalario, Universitario de Santiago de Compostela, Santiago de Compostela, España. danielfentes@yahoo.es
Blanco Parra
Miguel
M
Alende Sixto
María
M
Grille José
Lema
L
Cimadevila García
Antonio
A
Toucedo Caamaño
Valentín
V
Lamas Cederrón
Pedro
P
Villar Núñez
Manuel
M
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*