Brucellar epididymo-orchitis: A retrospective multicenter study of 28 cases and review of the literature

Savasci, Umit; Zor, Murat; Karakaş, Ahmet; Aydin, Emsal; Kocaaslan, Ramazan; Ören, Nisa Cem; Çoşkun, Ömer; Turhan, Vedat; Gül, Hanefi Cem; Çiçek, Ali Fuat; Aydur, Emin; Eyigün, Can Polat

doi:10.1016/j.tmaid.2014.10.005

Cited by 25 publications

(38 citation statements)

References 20 publications

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“…Usually, men in the second and third decade of life are affected, which is in keeping with our case. Elevated CRP, leucocytosis, anaemia and thrombocytopenia are commonly seen in BEO, especially for acute presentations of brucellosis, as was evident in our case 5 7 9…”

Section: Discussionsupporting

confidence: 73%

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Acute epididymo-orchitis frombrucellosis melitensisin Australia

Ip¹,

Tumali

Hoh

et al. 2019

BMJ Case Rep

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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. Brucella melitensis 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.

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Section: Discussionsupporting

confidence: 73%

“…BEO can present as either as part of the acute phase of brucellosis infection or as a subacute complication. Most patients present with unilateral testicular disease 5–9. Although patients with brucellosis classically present with undulating fever, BEO can present with persistent fever 5.…”

Section: Discussionmentioning

confidence: 99%

Acute epididymo-orchitis frombrucellosis melitensisin Australia

Ip¹,

Tumali

Hoh

et al. 2019

BMJ Case Rep

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“…In fact, Günlüsoy et al emphasized that the insidious onset and longer duration are two main characteristics of BEO which differs from NBEO [27]. Bilateral involvement has been reported in less than 10% of BEO cases in the current literature [1,8,13,15,[21][22][23]. We found a higher rate of bilateral involvement in the BEO group (n=5; 20.8%), significantly higher than in the NBEO group (n=13; 4.6%).…”

Section: Discussionmentioning

confidence: 39%

“…Most of the published studies regarding BEO are descriptive studies [1,6,8,20] or related to the clinical and laboratory findings of BEO and NBEO [3,4,15,[21][22][23][24][25]. Although US is considered as the first-applied imaging technique for the diagnosis of scrotal disease, to the best of our knowledge, there is only one study that compares US findings of BEO and NBEO [13].…”

Section: Discussionmentioning

confidence: 99%

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

2019

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Material and methodsThis study has a retrospective design and the approval of the local Ethics Committee was obtained. Patients who Abstract Aim: In brucellosis the male genitourinary system can be affected in a small number of patients. In this study we aimed to identify, discuss and compare the radiologic findings of 24 cases with Brucella epididymo-orchitis (BEO) and 285 cases with non-Brucella epididymis orchitis (NBEO). Material and methods: The study had a retrospective design. The area of involvement, side of involvement (left, right or bilateral), presence of abscess, hydrocele and testicular involvement pattern were analyzed and compared between the BEO and NBEO cases. Results: The median age of the included cases was 33 years, with a minimum of 0 and maximum of 89. Epididymo-orchitis and isolated orchitis were more frequent in BEO cases while isolated epididymis involvement was more common in patients with non-BEO (p=0.0117). Bilateral involvement was present in 20.8% and 4.6% cases in the BEO and non-BEO groups, respectively (p=0.008). The frequency of abscess was significantly higher in BEO cases (p=0.003). Conclusion: Although the radiological indications of BEO are similar to those of other types of epididymo-orchitis, abscess formation, bilateral involvement and testicular involvement contribute significantly to diagnosis.

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“…Cases of Brucella epididymo-orchitis progressing to orchiectomy due to delayed diagnosis have been reported in the literature. For this reason, early diagnosis is essential [19].…”

Section: Discussionmentioning

confidence: 99%

Brucellar terminal ileitis and epididymo-orchitis in an adolescent; case report and review of the literature

Oğuz

Öztek-Celebi

2018

J Infect Dev Ctries

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Although brucellosis is a multi-systemic illness, terminal ileitis or colitis due to brucellosis is reported anecdotal in literature. Genitourinary manifestations of Brucella, namely epididymo-orchitis is very rare in childhood brucellosis. Herein, we present a case of brucellosis in a child with a rare combination of terminal ileitis and epididymo-orchitis not reported previously in the literature.

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Brucellar epididymo-orchitis: A retrospective multicenter study of 28 cases and review of the literature

Cited by 25 publications

References 20 publications

Acute epididymo-orchitis frombrucellosis melitensisin Australia

Acute epididymo-orchitis frombrucellosis melitensisin Australia

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

Brucellar terminal ileitis and epididymo-orchitis in an adolescent; case report and review of the literature

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