A case of granulomatous orchitis due to brucellosis with unusual clinical and paraclinical findings

Abstract

Introduction: Granulomatous epididymo-orchitis is a rare complication of brucellosis that usually appears in patients with antecedent Brucella infection. Case Presentation: The current study reports an 18-year-old man with acute epididymo-orchitis. In this case, an anti-Brucella treatment was started based on epidemiological history and clinical findings, but the final diagnosis was established only after radical orchiectomy. Discussion: Especially in endemic areas of brucellosis, the disease should be considered in differential diagnosis of epididymo-orchitis. Throughout completion of anti-Brucella treatment, patients should be under close observation in order to assess the clinical improvement. © 2013, Shahid Beheshti University of Medical Sciencces.