Brucella epididymo-orchitis: A single-center experience with a review of the literature
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 s...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-12-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://www.pagepressjournals.org/index.php/aiua/article/view/11978 |
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| author | Rawa Bapir Ahmed Mohammed Abdalqadir Esmaeel Aghaways Hemn Hussein Bayz Hiwa O. Abdullah Shaho F. Ahmed Berun A. Abdalla Jihad Ibrahim Hama Bryar Othman Muhammed Karokh Fadhil Hamahussein Farman Mohammed Faraj Fahmi Hussein Kakamad |
| author_facet | Rawa Bapir Ahmed Mohammed Abdalqadir Esmaeel Aghaways Hemn Hussein Bayz Hiwa O. Abdullah Shaho F. Ahmed Berun A. Abdalla Jihad Ibrahim Hama Bryar Othman Muhammed Karokh Fadhil Hamahussein Farman Mohammed Faraj Fahmi Hussein Kakamad |
| author_sort | Rawa Bapir |
| collection | DOAJ |
| description |
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.
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| first_indexed | 2024-03-08T18:46:21Z |
| format | Article |
| id | doaj.art-c773b6ac08214699ae3d9cd19fbdd079 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-03-08T18:46:21Z |
| publishDate | 2023-12-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-c773b6ac08214699ae3d9cd19fbdd0792023-12-28T23:07:03ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972023-12-0110.4081/aiua.2023.11978Brucella epididymo-orchitis: A single-center experience with a review of the literatureRawa Bapir0Ahmed Mohammed Abdalqadir1Esmaeel Aghaways2Hemn Hussein Bayz3Hiwa O. Abdullah4Shaho F. Ahmed5Berun A. Abdalla6Jihad Ibrahim Hama7Bryar Othman Muhammed8Karokh Fadhil Hamahussein9Farman Mohammed Faraj10Fahmi Hussein Kakamad11Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Department of Urology, Sulaimani Surgical Teaching Hospital, Sulaimani; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, KurdistanCollege of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, KurdistanCollege of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, KurdistanSmart Health Tower Raparin, Rania, Sulaimani, KurdistanSmart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, KurdistanSmart Health Tower, Madam Mitterrand Street, Sulaimani, KurdistanSmart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kscien Organization, Hamdi Street, Azadi Mall, Sulaimani, KurdistanResearch Center, University of Halabja, HalabjaSmart Health Tower Raparin, Rania, Sulaimani, KurdistanSmart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan; Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, KurdistanDepartment of Urology, Sulaimani Surgical Teaching Hospital, SulaimaniSmart 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 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. https://www.pagepressjournals.org/index.php/aiua/article/view/11978BrucellosisBrucellaorchitisgenitourinary infectionorchiectomyzoonosis |
| spellingShingle | Rawa Bapir Ahmed Mohammed Abdalqadir Esmaeel Aghaways Hemn Hussein Bayz Hiwa O. Abdullah Shaho F. Ahmed Berun A. Abdalla Jihad Ibrahim Hama Bryar Othman Muhammed Karokh Fadhil Hamahussein Farman Mohammed Faraj Fahmi Hussein Kakamad Brucella epididymo-orchitis: A single-center experience with a review of the literature Archivio Italiano di Urologia e Andrologia Brucellosis Brucella orchitis genitourinary infection orchiectomy zoonosis |
| title | Brucella epididymo-orchitis: A single-center experience with a review of the literature |
| title_full | Brucella epididymo-orchitis: A single-center experience with a review of the literature |
| title_fullStr | Brucella epididymo-orchitis: A single-center experience with a review of the literature |
| title_full_unstemmed | Brucella epididymo-orchitis: A single-center experience with a review of the literature |
| title_short | Brucella epididymo-orchitis: A single-center experience with a review of the literature |
| title_sort | brucella epididymo orchitis a single center experience with a review of the literature |
| topic | Brucellosis Brucella orchitis genitourinary infection orchiectomy zoonosis |
| url | https://www.pagepressjournals.org/index.php/aiua/article/view/11978 |
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