Brucellar Testicular Abscess Presenting as a Testicular Mass: Can Color Doppler Sonography be used in Differentiation?

Abstract

SUMMARYBrucellosis is an endemic disease in various regions of the world. Testicular abscess is a very rare complication of brucellosis which can be misdiagnosed as a testicular mass and may lead to unnecessary orchiectomy. To our knowledge there are only eight reported cases in the literature of a brucellar testicular abscess. We present a case of testicular abscess due to brucellosis diagnosed with serologic tests and color Doppler sonography, and treated with antibiotics and fine needle aspiration.

Conservative treatment for Brucella testicular abscesses: A case report and literature review

“…Direct contact with infected animals or ingestion of contaminated animal products are the main routes of human transmission. [1][2][3] The most common clinical findings are fever and osteoarticular involvement. 1 Genitourinary involvement in endemic areas ranges between 1.6% and 20%.…”

“…[1][2][3] The most common clinical findings are fever and osteoarticular involvement. 1 Genitourinary involvement in endemic areas ranges between 1.6% and 20%. [2][3][4] The most common genitourinary manifestation is orchitis; 2,4 however, intratesticular abscess is a rare complication.…”

“…1,5 Only 1 case was treated by medical therapy alone 6 (Table 1). In most cases, there was relevant history that guided the clinician to think of Brucella as the causative pathogen.…”

“…Brucellosis is a multi-organ infectious disease that is considered endemic in Mediterranean, 1,3,[5][6][7] the Arabian gulf, and parts of Mexico, Central and South America. 7 It is caused by 4 Brucella species; B. abortus, B. melitensis, B. uis, and B. canis.…”

“…[1][2][3][4] The most common genitourinary manifestation is orchitis; 2,4 however, intratesticular abscesses are a rare complication. Although surgery is the standard treatment for intratesticular abscesses, medical therapy alone can be successful.…”