Testicular abscesses due to Brucella melitensis

Brucella may cause testicular masses, which may be confused with a testicular tumour. We present the case of a man with fever and oedema in the scrotum. Ultrasound and colour Doppler ultrasound with a 6 to 15 MHz high-frequency linear-array transducer was performed, revealing bilateral scrotal wall...

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Main Authors: N.G. Vallianou, K. Melaki, F. Constantinou, V. Gennimata, E. Kokkinakis
Format: Article
Language:English
Published: Elsevier 2018-11-01
Series:New Microbes and New Infections
Online Access:http://www.sciencedirect.com/science/article/pii/S2052297518300702
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author N.G. Vallianou
K. Melaki
F. Constantinou
V. Gennimata
E. Kokkinakis
author_facet N.G. Vallianou
K. Melaki
F. Constantinou
V. Gennimata
E. Kokkinakis
author_sort N.G. Vallianou
collection DOAJ
description Brucella may cause testicular masses, which may be confused with a testicular tumour. We present the case of a man with fever and oedema in the scrotum. Ultrasound and colour Doppler ultrasound with a 6 to 15 MHz high-frequency linear-array transducer was performed, revealing bilateral scrotal wall oedema, heterogeneous echo texture and slightly increased vascularization of the right testis, with hypoechoic lesions characterized by hypervascular margins and no flow within them. These findings were compatible with testicular abscesses. Three blood cultures grew Brucella melitensis, so the patient received treatment with doxycycline and rifampin for 8 weeks, which resulted in disappearance of the testicular abscesses. Keywords: Brucella melitensis, genitourinary brucellosis, testicular abscess, zoonosis, stuartii
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spelling doaj.art-1c8891bf33fc4a0190714dfef289bf772022-12-21T19:56:44ZengElsevierNew Microbes and New Infections2052-29752018-11-012612Testicular abscesses due to Brucella melitensisN.G. Vallianou0K. Melaki1F. Constantinou2V. Gennimata3E. Kokkinakis4Corresponding author: N. G. Vallianou, Evangelismos General Hospital, 5 Pyramidon str, 19005, Municipality of Marathonas, Athens, Greece.; Evangelismos General Hospital, Athens, GreeceEvangelismos General Hospital, Athens, GreeceEvangelismos General Hospital, Athens, GreeceEvangelismos General Hospital, Athens, GreeceEvangelismos General Hospital, Athens, GreeceBrucella may cause testicular masses, which may be confused with a testicular tumour. We present the case of a man with fever and oedema in the scrotum. Ultrasound and colour Doppler ultrasound with a 6 to 15 MHz high-frequency linear-array transducer was performed, revealing bilateral scrotal wall oedema, heterogeneous echo texture and slightly increased vascularization of the right testis, with hypoechoic lesions characterized by hypervascular margins and no flow within them. These findings were compatible with testicular abscesses. Three blood cultures grew Brucella melitensis, so the patient received treatment with doxycycline and rifampin for 8 weeks, which resulted in disappearance of the testicular abscesses. Keywords: Brucella melitensis, genitourinary brucellosis, testicular abscess, zoonosis, stuartiihttp://www.sciencedirect.com/science/article/pii/S2052297518300702
spellingShingle N.G. Vallianou
K. Melaki
F. Constantinou
V. Gennimata
E. Kokkinakis
Testicular abscesses due to Brucella melitensis
New Microbes and New Infections
title Testicular abscesses due to Brucella melitensis
title_full Testicular abscesses due to Brucella melitensis
title_fullStr Testicular abscesses due to Brucella melitensis
title_full_unstemmed Testicular abscesses due to Brucella melitensis
title_short Testicular abscesses due to Brucella melitensis
title_sort testicular abscesses due to brucella melitensis
url http://www.sciencedirect.com/science/article/pii/S2052297518300702
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AT ekokkinakis testicularabscessesduetobrucellamelitensis