title: First report of orchitis in man caused by Brucella abortus biovar 1 in Ecuador.
abstract: We present a 44-year-old man from a rural community in northern Ecuador who worked on a cattle farm where he was involved with primary veterinary care, including assistance during births (or calving) and placenta retention and artificial insemination, with minimal precautions. In September of 2009, quite abruptly, he developed asthenia and hypersomnia without any apparent cause or symptoms like fever, chills, or night sweats. On November 14, 2009, he suffered from pain and edema in the right testicle that coincided with pain in the abdomen. Clinical, serological, and bacteriological investigations confirmed the first case of unilateral orchitis in man in Ecuador caused by Brucella abortus biovar 1. Because brucellosis is a neglected disease, special attention should be given to it in the training of medical and veterinary students.
authors: International Center for Zoonoses (CIZ), Central University of Ecuador, Quito, Ecuador.
authors: Jorge
authors: J
authors: Ron-Román
authors: Claude
authors: C
authors: Saegerman
authors: Elizabeth
authors: E
authors: Minda-Aluisa
authors: Washington
authors: W
authors: Benítez-Ortíz
authors: Jef
authors: J
authors: Brandt
authors: Richard
authors: R
authors: Douce
mesh_terms: D000005:Abdomen / Q000382:microbiology / Q000503:physiopathology; D000328:Adult; D000818:Animals; D001247:Asthenia / Q000188:drug therapy / Q000503:physiopathology; D002003:Brucella abortus / Q000302:isolation & purification* / Q000472:pathogenicity*; D002417:Cattle; D006970:Disorders of Excessive Somnolence / Q000188:drug therapy / Q000503:physiopathology; D004318:Doxycycline / Q000627:therapeutic use; D004484:Ecuador; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009920:Orchitis / Q000188:drug therapy / Q000382:microbiology* / Q000503:physiopathology; D013737:Testis / Q000382:microbiology / Q000503:physiopathology; D016896:Treatment Outcome
chemical_list: D005839:Gentamicins; D004318:Doxycycline