Fernández Fernández A, Jiménez Cidre M, Cruces F, Guil M, Bethencurt R, Dehaini A, Hontoria J, Ramírez Fernández J C
Servicio de Urología, Hospital Universitario, Alcalá de Henares, Príncipe de Asturias, Madrid.
Actas Urol Esp. 1990 Sep-Oct;14(5):387-9.
A clinical case of orchitis with brucellosis etiology is presented. Testicular symptomatology appeared from the beginning of the brucellosis's general clinical picture. It envolved painfully and increased the testicular size, with no mictional symptoms, expanding progressively in spite of specific brucellosis therapy given from the beginning, towards formation of an intratesticular abscess which required orchiectomy, a way of progression we have not found in the related literature. The main differential diagnosis must be done with tuberculosis orchitis. Since our country had the largest incidence of brucellosis in Europe, and it is possible that in many cases a orchiepididymarial condition can become apparent in the initial phases, this is an etiology that should be taken into account among specific orchiepididymitis.
本文介绍了一例由布鲁氏菌病引起的睾丸炎临床病例。睾丸症状从布鲁氏菌病的一般临床症状开始时就出现了。它疼痛地发展，睾丸体积增大，无排尿症状，尽管从一开始就给予了布鲁氏菌病的特异性治疗，但仍逐渐发展，形成了需要进行睾丸切除术的睾丸内脓肿，这种进展方式在相关文献中尚未发现。主要的鉴别诊断必须与结核性睾丸炎进行。由于我国在欧洲布鲁氏菌病发病率最高，而且在许多情况下，睾丸附睾炎可能在初始阶段就表现出来，因此在特异性睾丸附睾炎中应考虑这一病因。
