Ip Christopher Chi Kit, Tumali Khrisna, Hoh Ivan M, Arunasalam Arun
Department of Urology, Western Health, Footscray, Victoria, Australia.
BMJ Case Rep. 2019 Jul 10;12(7):e230007. doi: 10.1136/bcr-2019-230007.
Brucellosis epididymo-orchitis (BEO) is extremely rare in non-endemic areas such as Australia. While epididymo-orchitis is relatively common in adolescent men, when presented with a significant travel history, consideration should be given to rare causes such as this. Here, we present a case of BEO in a young 18-year-old man who recently migrated from Greece, with symptoms of acute scrotal pain, swelling and persistent fever. was isolated in the blood culture and confirmed with PCR. We suspect transmission was related to ingestion of unpasteurised goat dairy products. He made a full recovery after 7 days of intravenous gentamicin and 6 weeks of oral doxycycline. BEO should be considered in those who present with acute scrotal pain and fever after a recent history of travel to or from a brucellosis- endemic area.
布鲁氏菌病性附睾炎睾丸炎(BEO)在澳大利亚等非流行地区极为罕见。虽然附睾炎睾丸炎在青少年男性中相对常见,但当患者有重要的旅行史时,应考虑到此类罕见病因。在此,我们报告一例18岁年轻男性的BEO病例,该患者最近从希腊移民而来,有急性阴囊疼痛、肿胀和持续发热的症状。血液培养分离出了[病原体名称未给出]并经聚合酶链反应(PCR)确诊。我们怀疑传播与摄入未巴氏消毒的山羊奶制品有关。他在接受7天静脉注射庆大霉素和6周口服强力霉素治疗后完全康复。对于近期有前往或来自布鲁氏菌病流行地区旅行史且出现急性阴囊疼痛和发热的患者,应考虑BEO。