Brucella and non-Brucella epididymo-orchitis: comparison of ultrasound findings

Baykan, Ali Haydar; Sayıner, Hakan Sezgin; Inan, İbrahim

doi:10.11152/mu-1871

Cited by 7 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ultrasonography plays an important role in the diagnosis of epididymoorchitis. Diffuse hypoechoic testis or focal intratesticular areas can be detected in the enlarged and heterogeneous epididymis and testicular involvement on ultrasonography (15). In addition, thickening of the scrotal wall and tunica albugine and moderate hydrocele are also observed (16,17).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A rare complication of brucella in adolescence: Epididymoorchitis

Demirtas

2019

ijmsci

View full text Add to dashboard Cite

Brucellosis is a systemic infectious disease and one of the major public health problems in our country. Genitourinary system involvement is rarely seen in brucellosis, which can involve many organs and systems. A 15-year-old patient who presented with scrotal swelling and pain and subsequently diagnosed as brucella epididymoorchitis is described in this case report. Since brucella rarely presents with epididymoorchitis, it is necessary to keep in mind the differential diagnosis of scrotal diseases, especially in areas where the disease is endemic. Diagnosis can be made with a good anamnesis and laboratory tests and the disease can be controlled with appropriate treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Testicular involvement in brucella epididymoorchitis is usually unilateral as in our case. Isolated testicular involvement is rare, often accompanied by epididymitis (7,15). The most common symptoms are scrotal pain and swelling, which may be accompanied by fever.…”

Section: Discussionmentioning

confidence: 99%

A rare complication of brucella in adolescence: Epididymoorchitis

Demirtas

2019

ijmsci

View full text Add to dashboard Cite

show abstract

“…It is infrequent, comprising about 2-20% of all cases. Orchitis seems to be the most common involvement, but testicular abscesses and prostatitis might also be detected as consequences of primary infection [2,3]. Brucellar abscess is usually due to necrosis in the area of granulomatous infection caused by bacterial persistence in macrophages.…”

Section: Discussionmentioning

confidence: 99%

“…The transmission can occur through the skin by contact, inhalation of the organism, and ingestion of contaminated meat or unpasteurized milk and its products. The highest incidence of the disease appears in veterinarians, livestock farmers, and sheepherders, especially in countryside communities [2,3]. Brucella epididymo-orchitis is a rare complication that occurs in 5.7% of patients with brucellosis, and the most prevalent symptoms are scrotal swelling, pain, and fever [4,5].…”

Section: Introductionmentioning

confidence: 99%

Brucella orchitis presenting as a testicular mass mimicking a testicular tumor: a rare case report

Bapir¹,

Ahmed²,

Tahir

et al. 2023

Afr J Urol

View full text Add to dashboard Cite

Introduction Brucella epididymo-orchitis is a complication that occurs in 5.7% of patients with brucellosis and can rarely mimic a testicular tumor. We here report a case of a 25-year-old man with a testicular brucellosis that presented as a testicular mass that responded to conservative treatment using antibiotic therapy. Case report A 25-year-old patient presented with left testicular pain, abdominal pain, easy fatiguability, and feeling unwell. Physical examinations were normal. A testicular tumor was suggested by a scrotal color Doppler US scan and testicular MRI. However, tumor markers were all within the normal range. A serum Brucella agglutination test (Rose Bengal test) was done, and it was positive. The patient received anti-brucella antibiotics. An ultrasound scan 3 months later revealed complete recovery after completing antibiotic treatments. Discussion Brucella orchitis can be determined based on the triad of serology, ultrasonography, and the presence of the common symptoms like fever, testicular pain, redness, and enlargement. The early diagnosis of this phenomenon is crucial due to the morbidity and complications that may be encountered. Moreover, it has several differential diagnoses, such as testicular tumor, epididymitis, trauma, torsion of the testis, and hematocele. Failure to obtain an adequate diagnosis, particularly if a testicular tumor is suspected, may result in unnecessary intervention like orchiectomy. Conclusion Brucella orchitis is a complication of brucella infection that may mimic a testicular tumor. Several techniques of diagnosis are required for an accurate assessment.

show abstract

“…Detection of testicular-epididymal pain and positive ultrasonography findings (epididymis with an enlarged, hypoechoic heterogeneous appearance, abscess formation, and bilateral involvement) were accepted as epididymo-orchitis [7,10,11] .…”

Section: Genitourinary Complicationmentioning

confidence: 99%

Osteoarticular Involvement and Inadequate Treatment of Brucellosis Are Related with Relapse

Özger¹,

Karaşahin²,

Yıldız³

et al. 2020

mjima

View full text Add to dashboard Cite

The goal of treatment in brucellosis is to control symptoms to prevent the development of complications and relapse of infection. The aim of this study was to evaluate the risk factors for relapse in brucellosis patients, including those with complications. Materials and Methods: Our study was performed retrospectively with data from three centers. Complication of brucellosis was defined as the involvement of specific anatomical regions in the disease. Recurrence of symptoms and signs of brucellosis six months after termination of treatment and increased standard tube agglutination titer under treatment or isolation of Brucella spp. in sterile body fluids was defined as relapse. Inadequate treatment duration was defined as a treatment duration of less than eight weeks in patients with osteoarticular complications and less than six weeks in other brucellosis involvement. A multivariate logistic regression model was built with the variables determined to be effective in relapse development. The logistic regression model included gender, the presence of osteoarticular complications, inadequate treatment duration, treatment combinations, and leukocyte count. The SPSS 20 statistical package program was used for statistical analysis. Results: A total of 1,296 patients were enrolled in the study. Their median age was 42 (31-54) years and 631 (48.7%) were female. One or more complications were detected in 448 (34.6%) cases. A two-drug antibiotic combination was given to 1,125 (86.8%) patients and 171 (13.2%) were treated with a three-drug antibiotic combination regimen. Three hundred sixteen (24.4%) of the patients were treated with combination therapies that included an aminoglycoside. Relapse occurred in 110 (8.5%) patients, and treatment was inadequate for 105 (8.1%) cases. Osteoarticular complications were more frequent in patients with relapse than in those without relapse (33.6% vs 18.5%, p<0.001). The presence of osteoarticular complications [odds ratio (OR): 2.413, 95% confidence interval (CI): 1.550-3.756] and inadequate treatment duration (OR: 2.861, 95% CI: 1.645-4.974) were associated with a higher rate of brucellosis relapse, while combination therapies including an aminoglycoside (OR: 0.432, 95% CI: 0.249-0.752) was associated witha lower relapse rate. Conclusion: Our results indicate that in patients with osteoarticular complications, treatment should be administered for the recommended optimal duration, and combination therapies including aminoglycosides should be chosen preferentially in order to prevent a relapse of infection.

show abstract

Brucella and non-Brucella epididymo-orchitis: comparison of ultrasound findings

Cited by 7 publications

References 23 publications

A rare complication of brucella in adolescence: Epididymoorchitis

A rare complication of brucella in adolescence: Epididymoorchitis

Brucella orchitis presenting as a testicular mass mimicking a testicular tumor: a rare case report

Osteoarticular Involvement and Inadequate Treatment of Brucellosis Are Related with Relapse

Contact Info

Product

Resources

About