Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy
Brucellosis, a zoonotic infection common in Iran, rarely causes genitourinary complications such as orchitis. We report a 65-year-old Persian cattle farmer with brucellosis who developed a testicular abscess despite antibiotic therapy. Initial treatment with rifampin and doxycycline resolved systemi...
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Elsevier
2025-09-01
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Series: | Urology Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001871 |
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author | Behnam Dejman Fereshteh Rahdan Majid Dezhman Dariush Rahdan Ahmad Movahedpour Fatemeh Salahpour-Anarjan |
author_facet | Behnam Dejman Fereshteh Rahdan Majid Dezhman Dariush Rahdan Ahmad Movahedpour Fatemeh Salahpour-Anarjan |
author_sort | Behnam Dejman |
collection | DOAJ |
description | Brucellosis, a zoonotic infection common in Iran, rarely causes genitourinary complications such as orchitis. We report a 65-year-old Persian cattle farmer with brucellosis who developed a testicular abscess despite antibiotic therapy. Initial treatment with rifampin and doxycycline resolved systemic symptoms, but scrotal pain prompted ultrasound, revealing a right testicular abscess. Orchiectomy was performed due to extensive necrosis, with histopathology confirming necrotizing brucellar orchitis. Post-surgical levofloxacin and clindamycin prevented recurrence at six months. This case highlights the need to consider Brucella orchitis in endemic regions when scrotal pathology persists, as advanced cases may require surgical intervention. |
format | Article |
id | doaj-art-db9fbc97c1ca4152b5a25773b783b7e6 |
institution | Matheson Library |
issn | 2214-4420 |
language | English |
publishDate | 2025-09-01 |
publisher | Elsevier |
record_format | Article |
series | Urology Case Reports |
spelling | doaj-art-db9fbc97c1ca4152b5a25773b783b7e62025-07-10T04:34:33ZengElsevierUrology Case Reports2214-44202025-09-0162103116Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomyBehnam Dejman0Fereshteh Rahdan1Majid Dezhman2Dariush Rahdan3Ahmad Movahedpour4Fatemeh Salahpour-Anarjan5Department of Urology, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Medical Genetics, Faculty of Medicine, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran; Department of Medical Biotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, IranFaculty of Medicine, Jahrom. University of Medical Sciences, Jahrom, IranFaculty of Medicine, Fasa University of Medical Sciences, Fasa, IranDepartment of Medical Biotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Medical Nanotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran; Corresponding author.Brucellosis, a zoonotic infection common in Iran, rarely causes genitourinary complications such as orchitis. We report a 65-year-old Persian cattle farmer with brucellosis who developed a testicular abscess despite antibiotic therapy. Initial treatment with rifampin and doxycycline resolved systemic symptoms, but scrotal pain prompted ultrasound, revealing a right testicular abscess. Orchiectomy was performed due to extensive necrosis, with histopathology confirming necrotizing brucellar orchitis. Post-surgical levofloxacin and clindamycin prevented recurrence at six months. This case highlights the need to consider Brucella orchitis in endemic regions when scrotal pathology persists, as advanced cases may require surgical intervention.http://www.sciencedirect.com/science/article/pii/S2214442025001871Case reportBrucellosisScrotal abscessOrchiectomy |
spellingShingle | Behnam Dejman Fereshteh Rahdan Majid Dezhman Dariush Rahdan Ahmad Movahedpour Fatemeh Salahpour-Anarjan Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy Urology Case Reports Case report Brucellosis Scrotal abscess Orchiectomy |
title | Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy |
title_full | Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy |
title_fullStr | Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy |
title_full_unstemmed | Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy |
title_short | Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy |
title_sort | brucella orchitis a case report on a rare cause of scrotal abscess leading to orchiectomy |
topic | Case report Brucellosis Scrotal abscess Orchiectomy |
url | http://www.sciencedirect.com/science/article/pii/S2214442025001871 |
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