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Advances in Urology
Volume 2013 (2013), Article ID 765023, 4 pages
http://dx.doi.org/10.1155/2013/765023
Clinical Study

Epididymoorchitis as the First Finding in Patients with Brucellosis

1Izmir University School of Medicine, Department of Urology, 35200 Izmir, Turkey
2Celal Bayar University, School of Medicine, Department of Urology, 45040 Manisa, Turkey
3Mus State Hospital, Department of Infectious Diseases, 49100 Mus, Turkey

Received 11 June 2013; Accepted 15 October 2013

Academic Editor: Maxwell V. Meng

Copyright © 2013 Ayhan Karaköse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. Acute scrotal pain as the first symptom of brucellosis is rarely observed. We aimed to evaluate the data of male patients with brucellosis and epididymoorchitis as the initial diagnosis. Material and Methods. The data of seven patients presented with testicular pain, hyperemia, swelling, and increased fever were reviewed. Concomitant focal diseases as well as clinical, laboratory, and radiological findings were retrospectively evaluated. Results. The mean age of the patients was 22.28 ± 7.78 (16–35) years. All patients presented with scrotal pain, swelling, and increased sweating. Additional findings included fever, asthenia, arthralgia, dysuria, shiver and rash, weight loss, and vomiting in 6, 5, 4, 4, 3, 2, and 1 patient, respectively. In all of 7 patients, the agglutination tests of Rose-Bengal and Wright were positive. Coombs test was positive only in 3 patients. The patients underwent antibiotic and conservative treatment. No relapse was observed following the treatment. Conclusion. In endemic regions, epididymoorchitis caused by brucellosis should be considered in the differential diagnosis of patients presenting with acute scrotal pain. Clinical and serological findings are sufficient for the diagnosis. Conservative management combined with antibiotic therapy is adequate for managing brucellar epididymoorchitis.