Ibrahim A I, Awad R, Shetty S D, Saad M, Bilal N E
Department of Surgery, College of Medicine, King Saud University, Abha Branch, Saudi Arabia.
Br J Urol. 1988 Apr;61(4):294-8. doi: 10.1111/j.1464-410x.1988.tb13960.x.
Twelve cases of genito-urinary complications of brucellosis are presented. Ten patients had epididymo-orchitis, 1 presented with right hydronephrosis and 1 with haematuria and dysuria. The 10 cases of epididymo-orchitis were compared with 15 cases of acute non-specific epididymo-orchitis. The former were of longer duration and were not associated with lower urinary tract symptoms; almost all of these patients had ingested unpasteurised milk. Non-specific epididymo-orchitis had a more acute onset, shorter duration and was associated more frequently with pyuria, lower urinary tract symptoms, higher leucocyte counts and insignificant brucella titres. The distinction between these two types of epididymo-orchitis is essential, since the treatments are entirely different.
本文报告了12例布鲁氏菌病的泌尿生殖系统并发症。10例患者患有附睾炎-睾丸炎，1例表现为右肾积水，1例表现为血尿和排尿困难。将10例附睾炎-睾丸炎患者与15例急性非特异性附睾炎-睾丸炎患者进行了比较。前者病程较长，且与下尿路症状无关；几乎所有这些患者都饮用过未经巴氏消毒的牛奶。非特异性附睾炎-睾丸炎起病更急，病程更短，更常伴有脓尿、下尿路症状、白细胞计数升高和布鲁氏菌滴度不显著。区分这两种类型的附睾炎-睾丸炎至关重要，因为治疗方法完全不同。
