Dejman Behnam, Rahdan Fereshteh, Dezhman Majid, Rahdan Dariush, Movahedpour Ahmad, Salahpour-Anarjan Fatemeh
Department of Urology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Genetics, Faculty of Medicine, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran.
Urol Case Rep. 2025 Jul 4;62:103116. doi: 10.1016/j.eucr.2025.103116. eCollection 2025 Sep.
Brucellosis, a zoonotic infection common in Iran, rarely causes genitourinary complications such as orchitis. We report a 65-year-old Persian cattle farmer with brucellosis who developed a testicular abscess despite antibiotic therapy. Initial treatment with rifampin and doxycycline resolved systemic symptoms, but scrotal pain prompted ultrasound, revealing a right testicular abscess. Orchiectomy was performed due to extensive necrosis, with histopathology confirming necrotizing brucellar orchitis. Post-surgical levofloxacin and clindamycin prevented recurrence at six months. This case highlights the need to consider Brucella orchitis in endemic regions when scrotal pathology persists, as advanced cases may require surgical intervention.
布鲁氏菌病是伊朗常见的一种人畜共患感染病，很少引起睾丸炎等泌尿生殖系统并发症。我们报告了一名65岁的波斯养牛农民，他患有布鲁氏菌病，尽管接受了抗生素治疗，仍出现了睾丸脓肿。最初使用利福平和强力霉素治疗缓解了全身症状，但阴囊疼痛促使进行超声检查，发现右侧睾丸脓肿。由于广泛坏死，进行了睾丸切除术，组织病理学证实为坏死性布鲁氏菌性睾丸炎。术后使用左氧氟沙星和克林霉素预防了六个月后的复发。该病例强调，在地方病流行地区，当阴囊病变持续存在时，需要考虑布鲁氏菌性睾丸炎，因为晚期病例可能需要手术干预。
