Gallego Vilar Daniel, Povo Martín Ivan, Gimeno Argente Vicente, Bosquet M, Rivadulla Serrano Isabel, Martínez Ramos David, Gallego Gómez Juan
Servicio de Urología, Hospital General de Castellón, Castellón, España.
Arch Esp Urol. 2008 Apr;61(3):442-4. doi: 10.4321/s0004-06142008000300014.
To report a brucellar orchiepididymitis case and to review the diagnosis and treatment of this pathology.
We present the case of a 62 year old man presenting with fever, testicular pain and constitutional syndrome. The diagnosis was made after ultrasound, blood cultures and anamnesis.
The treatment was Doxiciclin six weeks and teicoplanin, the second one was replaced with ciprofloxacin.
It is important to make a correct anamnesis to the patient with orchiepididymitis to identify any risk factor for brucellosis. The diagnosis is confirmed with blood cultures. The oral antibiotics are enough to cure patients.
报告一例布鲁氏菌性睾丸炎附睾炎病例,并回顾该疾病的诊断和治疗。
我们呈现了一名62岁男性患者的病例,该患者出现发热、睾丸疼痛和全身症状。通过超声、血培养和问诊做出诊断。
治疗方案为使用多西环素六周,并使用替考拉宁,后将替考拉宁替换为环丙沙星。
对于睾丸炎附睾炎患者进行正确的问诊以识别任何布鲁氏菌病风险因素非常重要。通过血培养确诊。口服抗生素足以治愈患者。