Open AccessConservative treatment for Brucella testicular abscesses: A case report and literature review
Author(s) -
Sakher Tahaineh,
Rawan Abu Mughli,
Hanan I Hakami,
Mohamad I Al-Faham
Publication year - 2015
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.2669
Subject(s) - medicine , orchitis , brucellosis , brucella , genitourinary system , epididymitis , complication , surgery , brucella melitensis , orchiectomy , rare disease , disease , dermatology , pathology , immunology
Brucellosis is a multi-organ infectious disease that can cause genitourinary manifestations. The most common genitourinary manifestation is orchitis; however, intratesticular abscesses are a rare complication. Although surgery is the standard treatment for intratesticular abscesses, medical therapy alone can be successful. We report the case of a 36-year-old man with multiple testicular abscesses caused by relapse of systemic brucellosis. The patient presented after a history of treated systemic brucellosis with left testicular swelling and pain. An ultrasound showed multiple small testicular abscesses, and the repeat diluted brucella titer demonstrated the causative pathogen. The patient was successfully treated with 3 months of oral targeted antibiotics, with no need for drainage or orchiectomy.