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

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

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Öz

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

Anahtar Kelimeler

• Brucella, epididimiorşit, radyolojik görüntüleme, orşiektomi

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