Clinical insights: Brucellosis-induced febrile orchitis - A case report and treatment strategy

Autor: Dor Golomb, Ido Bar, Tal Brosh-Nissimov, Daniel Leshin-Carmel, Amir Cooper, Orit Raz
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Urology Case Reports, Vol 55, Iss , Pp 102764- (2024)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2024.102764
Popis: Brucellosis, a systemic infection, can affect various organs, including the genitourinary system, causing epididymo-orchitis in 2%–20 % of cases. This report details a 34-year-old Thai male migrant worker with febrile orchitis. Initial gentamicin treatment failed, but serological tests confirmed brucellosis, likely from raw dairy consumption. The patient was successfully treated with gentamicin, doxycycline, and rifampicin, resulting in complete symptom resolution. Brucella orchitis, though rare, should be considered in patients from endemic areas. Conservative treatment with combined antibiotics is typically effective.
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