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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Main Authors: Behnam Dejman, Fereshteh Rahdan, Majid Dezhman, Dariush Rahdan, Ahmad Movahedpour, Fatemeh Salahpour-Anarjan
Format: Article
Language:English
Published: Elsevier 2025-09-01
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.
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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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