Orchiectomy performed in two patients with Brucella orchitis mimicking testicular tumour.
Brucellosis is a zoonosis caused by gram negative coccobacilli and it is an endemic infectious disease in Turkey. Infection is usually acquired as a result of direct contact with infected animals or by consuming milk or cheese freshly made from them. There exists a wide spectrum of clinical signs and symptoms in brucellosis. Many systems including musculoskeletal, gastrointestinal, cardiovascular and genitourinary may be involved in brucellosis. The genitourinary system is affected in 2% to 20% of the cases with brucellosis. The most common forms of brucellosis are epididymo-orchitis, testicular abscess and atrophy. The serum agglutination test to detect the presence of antibodies is a reliable test in patients with urogenital symptoms. Long-term and combined antibacterial therapy have been found to be effective in brucellosis. We present two cases undergoing orchiectomy because of testicular mass before the diagnosis of brucellosis was made.
Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Turhan
Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Acar
Department of Urology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Ates
Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital Istanbul, Turkey. hd3207@gmail.com.
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Diktas
Department of Pathology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Haholu
Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Oncul
Department of Infectious Diseases and Clinical Microbiology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
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Gorenek
D002006:Brucellosis / Q000175:diagnosis* / Q000601:surgery; D003951:Diagnostic Errors; D006801:Humans; D008297:Male; D009919:Orchiectomy; D009920:Orchitis / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000175:diagnosis*; D055815:Young Adult