| Autor: |
Bapir R; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Department of Urology, Sulaimani Surgical Teaching Hospital, Sulaimani; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, Kurdistan. Dr.rawa@yahoo.com., Abdalqadir AM; College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan. ahmed.abdalqadir@gmail.com., Aghaways E; College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan. esmaeel.aghaways@gmail.com., Bayz HH; Smart Health Tower Raparin, Rania, Sulaimani, Kurdistan. hemn.bayz@gmail.com., Abdullah HO; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, Kurdistan. hiewaom96@gmail.com., Ahmed SF; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan. shahomedi87@gmail.com., Abdalla BA; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, Kurdistan. berun.anwer95@gmail.com., Hama JI; Research Center, University of Halabja, Halabja. jihad.hama@gmail.com., Muhammed BO; Smart Health Tower Raparin, Rania, Sulaimani, Kurdistan. bryar.muhammed@gmail.com., Hamahussein KF; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, Kurdistan. karokh12@gmail.com., Faraj FM; Department of Urology, Sulaimani Surgical Teaching Hospital, Sulaimani. farman.faraj@gmail.com., Kakamad FH; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, Kurdistan; College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan. fahmi.hussein@univsul.edu.iq. |
| Abstrakt: |
Brucella epididymo-orchitis (BEO) is a rare complication of brucellosis. Despite the high incidence of brucellosis in developing countries, few case series on BEO are available. This study focuses on the clinical presentations, diagnosis, and treatment of BEO with a review of the literature. This study included consecutive BEO patients diagnosed and treated at Smart Health Tower between 2021 and 2023. The required data were retrospectively collected from patients' profiles. The BEO diagnosis was established through scrotal Doppler ultrasound in cases with a positive Rose Bengal test and positive IgG and IgM results for brucellosis, in addition to scrotal pain and swelling. This study included 11 cases whose ages ranged from 22 to 55 years. Most of the cases presented with testicular pain (72.7%), followed by fever (63.6%) and arthralgia (63.6%). The right side (54.5%) was slightly more affected than the left side (45.5%). The major abnormal laboratory finding was an elevated C-reactive protein (82%). The treatment was conservative, in which a combination of gentamicin, doxycycline, and rifampicin was administered to the patients for about 6-8 weeks. One case underwent an orchiectomy due to the abscess formation. All the patients responded well to the treatment, with no recurrence. In the Middle East, brucellosis remains a concerning infectious disease. Early diagnosis, aimed at preventing abscess formation and other complications, takes first priority to avoid invasive interventions. |
