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An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment

Year 2015, Volume: 5 Issue: 2, 89 - 92, 16.07.2015

M. Fatih Erkoç , Sevil Alkan

https://doi.org/10.5799/ahinjs.02.2015.02.0183

Abstract

Brucellosis is an endemic disease in Turkey, and epididymo-orchitis is a rare complication of brucellosis. A 21-year-old married male presented to infectious diseases clinic with 4 weeks history of swelling, increased temperature on right testicle and acute scrotal pain for 2 days. His physical examination pointed an epididymoorchitis within his radiologi­cal findings; patient was started on standard epididymo orchitis treatment. Upon increase in the patient’s complaint, control radiological evolution was carried out after the completion of antibiotic therapy and showed no resolution of lesions, so patient underwent surgery. Herein, a case of a brucellar epididymo-orchitis that does not respond to the treatment which was resulted in orchiectomy is presented. J Microbiol Infect Dis 2015;5(2): 89-92

Key words: Brucella, epididymo-orchitis, radiodiagnostic imaging, orchiectomy

Keywords

Brucella epididymo-orchitis radiodiagnostic imaging orchiectomy

References

  • Guler S, Kokoglu OF, Ucmak H, et al. Human brucellosis in Turkey: different clinical presentations. J Infect Dev Ctries 2014;14;8:581-588.
  • Colmenero JD, Muñoz-Roca NL, Bermudez P, et al. Clinical findings, diagnostic approach, and outcome of Brucella melitensis epididymo-orchitis. Diagn Microbiol Infect Dis 2007;57:367-372.
  • Edward J Young.: Brucella species. In: Gerald L. Mandell, John E. Bennett, eds. Principles and Practice of Infectious Diseases. 7th edn. New York: Churchill Livingstone; 2010:2921-2926.
  • Salata RA. Brucellosis.; in In:Goldman L, ed. Cecil Textbook of Medicine, 21st edn. Philadelphia: Saunders, 2000;1717-1719.
  • Stamatiou K, Polyzois K, Dahanis S, et al. Brucella melitensis: A Rarely Suspected Cause of Infections of Genitalia and the Lower Urinary Tract. Braz J Infect Dis 2009;13:86-89.
  • Navarro-Martinez A, Solera J, Corredoira J, et al. Epididymoorchitis
  • due to Brucella melitensis: a retrospective study of 59 patients. Clin Infect Dis 2001;33:2017-2022.
  • Aliskan H. The value of culture and serological methods in the diagnosis of human brucellosis. Mikrobiyol Bul 2008;42:185-195.
  • Yagupsky P. Detection of brucellae in blood cultures. J ClinMicrobiol 1999; 37:3437-42.
  • Brian Gorman. Small Parts, Carotid Artery, And Peripheral Vessel Sonography. In: Carol M Rumack, Stephanie R Wilson, J William Charboneau, Deborah Levine; eds. Diagnostic Ultrasound. 4th edn. Mosby, 2010;830-860.
  • Burgener FA, Meyers SP. Abdomen and Pelvis. In: Francis A. Burgener, Steven P. Meyers, Raymond K. Tan, Wolfgang Zaumbauer;
  • eds. Differential Diagnosis in Magnetic Resonance Imaging. New York: Thieme, 2002:634.
  • Akova M, Uzun O, Akalın HE, et al. Quinolones in treatment of human brucellosis: comparative trial of ofloxacin-rifampin versus doxycycline-rifampin. Antimicrob Agents Chemother 1993;37:1831-1834.
  • Solera J, Medrano F, Rodriguez M, et al. A comparative therapeutic
  • and multicenter trial of rifampicin and doxycycline versus streptomycin and doxycycline in human brucellosis. Med Clin (Barc) 1991;96:649-653.
  • Memish ZA, Venkatesh S. Brucellar epididymo-orchitis in Saudi Arabia: a retrospective study of 26 cases and review of the literature. BJU Int 2001;88:72-76.
  • Papatsoris AG, Mpadra FA, Karamokzis MV, Frangides CY. Endemic brucellar epididymo-orchitis: A 10 year experience. Int J Infect Dis 2002;6:309-313.
  • Celen MK, Ulug M, Ayaz C, et al. Brucellar epididymo- orchitis in southeastern part of Turkey: an 8 year experience. Braz J Infect Dis 2010;14:109-115.

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Year 2015, Volume: 5 Issue: 2, 89 - 92, 16.07.2015

M. Fatih Erkoç , Sevil Alkan

https://doi.org/10.5799/ahinjs.02.2015.02.0183

Abstract

Bruselloz Türkiye’de endemiktir ve brusella epididimiorşiti nadir görülen fakat kolaylıkla atlanılan bir komplikasyonudur. 21 yaşında evli erkek hasta son 4 haftadır devam eden eden sağ skrotal kızarıklık, 2 gündür artan akut skrotal ağrı şikayeti ile enfeksiyon hastalıkları kliniğine başvurdu. Hastanın fizik muayene ve radyolojik bulguları epididimiorşiti işaret etmesi üzerine standart tedavi başlandı. Hastanın şikayetlerini artması üzerine yapılan kontrol radyolojik değerlendirmede lezyonda herhangi bir gerileme saptanmaması üzerine hasta cerrahiye devredildi. Burada tedaviye cevap vermeyen ve orşiektomi ile sonuçlanan epididimiorşit vakası takdim edilmektedir

Keywords

Brucella epididimiorşit radyolojik görüntüleme orşiektomi

References

  • Guler S, Kokoglu OF, Ucmak H, et al. Human brucellosis in Turkey: different clinical presentations. J Infect Dev Ctries 2014;14;8:581-588.
  • Colmenero JD, Muñoz-Roca NL, Bermudez P, et al. Clinical findings, diagnostic approach, and outcome of Brucella melitensis epididymo-orchitis. Diagn Microbiol Infect Dis 2007;57:367-372.
  • Edward J Young.: Brucella species. In: Gerald L. Mandell, John E. Bennett, eds. Principles and Practice of Infectious Diseases. 7th edn. New York: Churchill Livingstone; 2010:2921-2926.
  • Salata RA. Brucellosis.; in In:Goldman L, ed. Cecil Textbook of Medicine, 21st edn. Philadelphia: Saunders, 2000;1717-1719.
  • Stamatiou K, Polyzois K, Dahanis S, et al. Brucella melitensis: A Rarely Suspected Cause of Infections of Genitalia and the Lower Urinary Tract. Braz J Infect Dis 2009;13:86-89.
  • Navarro-Martinez A, Solera J, Corredoira J, et al. Epididymoorchitis
  • due to Brucella melitensis: a retrospective study of 59 patients. Clin Infect Dis 2001;33:2017-2022.
  • Aliskan H. The value of culture and serological methods in the diagnosis of human brucellosis. Mikrobiyol Bul 2008;42:185-195.
  • Yagupsky P. Detection of brucellae in blood cultures. J ClinMicrobiol 1999; 37:3437-42.
  • Brian Gorman. Small Parts, Carotid Artery, And Peripheral Vessel Sonography. In: Carol M Rumack, Stephanie R Wilson, J William Charboneau, Deborah Levine; eds. Diagnostic Ultrasound. 4th edn. Mosby, 2010;830-860.
  • Burgener FA, Meyers SP. Abdomen and Pelvis. In: Francis A. Burgener, Steven P. Meyers, Raymond K. Tan, Wolfgang Zaumbauer;
  • eds. Differential Diagnosis in Magnetic Resonance Imaging. New York: Thieme, 2002:634.
  • Akova M, Uzun O, Akalın HE, et al. Quinolones in treatment of human brucellosis: comparative trial of ofloxacin-rifampin versus doxycycline-rifampin. Antimicrob Agents Chemother 1993;37:1831-1834.
  • Solera J, Medrano F, Rodriguez M, et al. A comparative therapeutic
  • and multicenter trial of rifampicin and doxycycline versus streptomycin and doxycycline in human brucellosis. Med Clin (Barc) 1991;96:649-653.
  • Memish ZA, Venkatesh S. Brucellar epididymo-orchitis in Saudi Arabia: a retrospective study of 26 cases and review of the literature. BJU Int 2001;88:72-76.
  • Papatsoris AG, Mpadra FA, Karamokzis MV, Frangides CY. Endemic brucellar epididymo-orchitis: A 10 year experience. Int J Infect Dis 2002;6:309-313.
  • Celen MK, Ulug M, Ayaz C, et al. Brucellar epididymo- orchitis in southeastern part of Turkey: an 8 year experience. Braz J Infect Dis 2010;14:109-115.
There are 18 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

M. Fatih Erkoç

Sevil Alkan This is me

Publication Date July 16, 2015
Published in Issue Year 2015 Volume: 5 Issue: 2

Cite

APA Erkoç, M. F., & Alkan, S. (2015). An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. Journal of Microbiology and Infectious Diseases, 5(2), 89-92. https://doi.org/10.5799/ahinjs.02.2015.02.0183
AMA Erkoç MF, Alkan S. An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. J Microbil Infect Dis. July 2015;5(2):89-92. doi:10.5799/ahinjs.02.2015.02.0183
Chicago Erkoç, M. Fatih, and Sevil Alkan. “An Unusual Cause of Orchiectomy: Brucella Epididymo-Orchitis That Does Not Respond to the Treatment”. Journal of Microbiology and Infectious Diseases 5, no. 2 (July 2015): 89-92. https://doi.org/10.5799/ahinjs.02.2015.02.0183.
EndNote Erkoç MF, Alkan S (July 1, 2015) An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. Journal of Microbiology and Infectious Diseases 5 2 89–92.
IEEE M. F. Erkoç and S. Alkan, “An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment”, J Microbil Infect Dis, vol. 5, no. 2, pp. 89–92, 2015, doi: 10.5799/ahinjs.02.2015.02.0183.
ISNAD Erkoç, M. Fatih - Alkan, Sevil. “An Unusual Cause of Orchiectomy: Brucella Epididymo-Orchitis That Does Not Respond to the Treatment”. Journal of Microbiology and Infectious Diseases 5/2 (July 2015), 89-92. https://doi.org/10.5799/ahinjs.02.2015.02.0183.
JAMA Erkoç MF, Alkan S. An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. J Microbil Infect Dis. 2015;5:89–92.
MLA Erkoç, M. Fatih and Sevil Alkan. “An Unusual Cause of Orchiectomy: Brucella Epididymo-Orchitis That Does Not Respond to the Treatment”. Journal of Microbiology and Infectious Diseases, vol. 5, no. 2, 2015, pp. 89-92, doi:10.5799/ahinjs.02.2015.02.0183.
Vancouver Erkoç MF, Alkan S. An unusual cause of orchiectomy: Brucella epididymo-orchitis that does not respond to the treatment. J Microbil Infect Dis. 2015;5(2):89-92.