Yetkin Meltem Arzu, Erdinc Fatma Sebnem, Bulut Cemal, Tulek Necla
Department of Infectious Diseases and Clinical Microbiology, Health Ministry Ankara Training and Research Hospital, Ankara, Turkey.
Urol Int. 2005;75(3):235-8. doi: 10.1159/000087801.
Brucellosis may involve many organs and tissues. Epididymoorchitis is a focal genitourinary complication of human brucellosis. In this study, we describe our experience with the diagnosis, treatment, and final outcomes of 17 patients with epididymoorchitis out of 186 male patients with brucellosis between March 1999 and December 2003. The rate of epididymoorchitisdue to brucellosiswas 9.1%. All subjects complained about swollen, painful testicles. The duration of their complaint varied between 1 week and 2 months. Both testis and epididymis were involved in 15 patients and 2 had bilateral involvement. The patients were treated with medical treatment and a complete resolution was achieved in all of them. Patients with Brucella infection occasionally manifest genitourinary complications. Clinicians, especially those serving in endemic areas or serving patients coming from endemic areas, should consider the likelihood of brucellosis as a cause of epididymoorchitis.
布鲁氏菌病可能累及多个器官和组织。附睾炎是人类布鲁氏菌病的一种局部泌尿生殖系统并发症。在本研究中,我们描述了1999年3月至2003年12月期间186例男性布鲁氏菌病患者中17例附睾炎患者的诊断、治疗及最终结局。布鲁氏菌病所致附睾炎的发生率为9.1%。所有受试者均主诉睾丸肿胀、疼痛。其主诉持续时间在1周至2个月之间。15例患者睾丸和附睾均受累,2例双侧受累。患者接受药物治疗后均完全康复。布鲁氏菌感染患者偶尔会出现泌尿生殖系统并发症。临床医生,尤其是在流行地区工作或为来自流行地区的患者服务的医生,应考虑布鲁氏菌病作为附睾炎病因的可能性。