Brucellar testicular abscess: The 17th case report and review of literature
Brucellosis is an endemic zoonotic disease caused by intracellular gram-negative coccobacilli called Brucella. This infectious disease may implicate many farm animals and is transmissible to exposed humans. Brucellosis is potentially life-threatening and may lead to granulomatous multi-organ involve...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=340;epage=348;aulast=Hamoda |
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| author | Taha Abo-Almagd Abdel-Meguid Hamoda Omar Bahassan Abdullah Majed Almalki Ali Hasan Alkhzaim Ahmed Nizar Khogeer Ehab Mahmoud Ahmed Kamal Algarni |
| author_facet | Taha Abo-Almagd Abdel-Meguid Hamoda Omar Bahassan Abdullah Majed Almalki Ali Hasan Alkhzaim Ahmed Nizar Khogeer Ehab Mahmoud Ahmed Kamal Algarni |
| author_sort | Taha Abo-Almagd Abdel-Meguid Hamoda |
| collection | DOAJ |
| description | Brucellosis is an endemic zoonotic disease caused by intracellular gram-negative coccobacilli called Brucella. This infectious disease may implicate many farm animals and is transmissible to exposed humans. Brucellosis is potentially life-threatening and may lead to granulomatous multi-organ involvement with tendency to chronicity and recurrence. The treatment of brucellosis requires combined and protracted antimicrobial therapies to eliminate the disease and to avoid its relapse. Genitourinary brucellosis is common among infected humans in endemic areas and is considered the second-most affected focal site, which commonly manifests as epididymo-orchitis. Testicular abscess, however, is an extremely rare complication of brucellosis. To the best of our knowledge, in the literature, there are to date only 16 previously published case reports, including 22 patients of brucellar testicular abscesses, emphasizing the extreme rarity of this condition. Most of these cases harbored small abscesses, which were treated conservatively using antibiotics therapy only, or with added drainage of the abscesses. Larger abscesses were reported to necessitate orchiectomy. In some cases, the abscesses were mimicking tumors, and surgeries for orchiectomy were done accordingly. A summary of the previously reported cases in the literature is presented. Here, we present the 17th case report of a 34-year-old man with a right-side huge multilocular brucellar testicular abscess apparently replacing the entire testicle, who was successfully treated with organ-sparing management by incision-drainage of the large abscess with antibiotics, to eventually preserve his testis. In conclusion, brucellosis should be considered among the differential diagnoses of any testicular swelling, especially in endemic areas. Drainage of brucellar testicular abscess with appropriate medical treatment is feasible and may preserve the testicle, even with large abscess apparently replacing the entire testicle. |
| first_indexed | 2024-03-12T13:43:38Z |
| format | Article |
| id | doaj.art-f32f3b32ea614929b9a9a5004eed82c5 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-03-12T13:43:38Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-f32f3b32ea614929b9a9a5004eed82c52023-08-23T09:47:47ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342023-01-0115334034810.4103/ua.ua_129_22Brucellar testicular abscess: The 17th case report and review of literatureTaha Abo-Almagd Abdel-Meguid HamodaOmar BahassanAbdullah Majed AlmalkiAli Hasan AlkhzaimAhmed Nizar KhogeerEhab Mahmoud AhmedKamal AlgarniBrucellosis is an endemic zoonotic disease caused by intracellular gram-negative coccobacilli called Brucella. This infectious disease may implicate many farm animals and is transmissible to exposed humans. Brucellosis is potentially life-threatening and may lead to granulomatous multi-organ involvement with tendency to chronicity and recurrence. The treatment of brucellosis requires combined and protracted antimicrobial therapies to eliminate the disease and to avoid its relapse. Genitourinary brucellosis is common among infected humans in endemic areas and is considered the second-most affected focal site, which commonly manifests as epididymo-orchitis. Testicular abscess, however, is an extremely rare complication of brucellosis. To the best of our knowledge, in the literature, there are to date only 16 previously published case reports, including 22 patients of brucellar testicular abscesses, emphasizing the extreme rarity of this condition. Most of these cases harbored small abscesses, which were treated conservatively using antibiotics therapy only, or with added drainage of the abscesses. Larger abscesses were reported to necessitate orchiectomy. In some cases, the abscesses were mimicking tumors, and surgeries for orchiectomy were done accordingly. A summary of the previously reported cases in the literature is presented. Here, we present the 17th case report of a 34-year-old man with a right-side huge multilocular brucellar testicular abscess apparently replacing the entire testicle, who was successfully treated with organ-sparing management by incision-drainage of the large abscess with antibiotics, to eventually preserve his testis. In conclusion, brucellosis should be considered among the differential diagnoses of any testicular swelling, especially in endemic areas. Drainage of brucellar testicular abscess with appropriate medical treatment is feasible and may preserve the testicle, even with large abscess apparently replacing the entire testicle.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=340;epage=348;aulast=Hamodabrucella melitensisbrucellar testicular abscessbrucellosisepididymo-orchitisgenitourinary brucellosistesticular abscess |
| spellingShingle | Taha Abo-Almagd Abdel-Meguid Hamoda Omar Bahassan Abdullah Majed Almalki Ali Hasan Alkhzaim Ahmed Nizar Khogeer Ehab Mahmoud Ahmed Kamal Algarni Brucellar testicular abscess: The 17th case report and review of literature Urology Annals brucella melitensis brucellar testicular abscess brucellosis epididymo-orchitis genitourinary brucellosis testicular abscess |
| title | Brucellar testicular abscess: The 17th case report and review of literature |
| title_full | Brucellar testicular abscess: The 17th case report and review of literature |
| title_fullStr | Brucellar testicular abscess: The 17th case report and review of literature |
| title_full_unstemmed | Brucellar testicular abscess: The 17th case report and review of literature |
| title_short | Brucellar testicular abscess: The 17th case report and review of literature |
| title_sort | brucellar testicular abscess the 17th case report and review of literature |
| topic | brucella melitensis brucellar testicular abscess brucellosis epididymo-orchitis genitourinary brucellosis testicular abscess |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=340;epage=348;aulast=Hamoda |
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