title: [Isolation of Brucella melitensis from ejaculate culture of a brucellosis patient with epididymoorchitis].
abstract: Brucellosis is a significant public health problem particularly in developing countries. People are frequently infected through milk, milk products, urine and pregnancy material of animals with brucellosis. Epididymoorchitis is the most frequent genitourinary complication of brucellosis and is often unilateral. In this report, a 35 years old male patient who was diagnosed as epididymoorchitis based on clinical presentation, laboratory findings and imaging techniques, has been presented. Brucella melitensis was isolated from blood, bone marrow and ejaculate cultures of the patient. The patient was treated with rifampicine and doxycycline combination therapy for six weeks and no complication has developed in the one year follow-up period. In areas where brucellosis is endemic, such as our country, Brucella infection should be considered in the differential diagnosis of epididymoorchitis and in addition to blood and bone marrow cultures, ejaculate cultures should also be evaluated.
authors.affiliation: Karadeniz Teknik Universitesi Tip Fakültesi, Enfeksiyon Hastaliklari ve Klinik Mikrobiyoloji Anabilim Dali, Trabzon. ebruemels@yahoo.com
authors.forename: Ebru Emel
authors.initials: EE
authors.lastname: Sözen
authors.forename: Firdevs
authors.initials: F
authors.lastname: Aksoy
authors.forename: Kemalettin
authors.initials: K
authors.lastname: Aydin
authors.forename: Iftihar
authors.initials: I
authors.lastname: Köksal
authors.forename: Gürdal
authors.initials: G
authors.lastname: Yilmaz
authors.forename: Hamit Zafer
authors.initials: HZ
authors.lastname: Aksoy
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D001853:Bone Marrow / Q000382:microbiology; D017347:Brucella melitensis / Q000302:isolation & purification*; D002006:Brucellosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D004823:Epididymitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D009920:Orchitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D012293:Rifampin / Q000627:therapeutic use; D012661:Semen / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline; D012293:Rifampin