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Brucellar Epididymoorchitis: A Report of Five Cases

Author(s): Onur Ural | Nebahat Dikici

Journal: Klimik Journal
ISSN 1301-143X

Volume: 23;
Issue: 01;
Start page: 22;
Date: 2010;
Original page

Keywords: Brucellosis | epididymoorchitis | Brucella melitensis

Epididymoorchitis caused by Brucella species is a rare infection. In this report five cases of epididymoorchitis due to brucellosis are presented with their laboratory and clinical findings. All patients complained of fever, swollen and painful testicles. The duration of their complaints varied between 10 and 21 days. All of these patients had unilateral epididymoorchitis. Brucellosis was diagnosed serologically in all patients. Brucella melitensis was isolated from the blood culture of one patient. Four patients were treated with rifampicin and doxycycline and one patient was treated with streptomycin and doxycycline. In all cases, complete resolution was achieved with medical treatment and relapse did not occur. Brucellosis should be considered in the differential diagnosis of patients presenting with epididymoorchitis in endemic areas.