Conservative treatment for Brucella testicular abscesses: A case report and literature review

Authors

  • Sakher Tahaineh Security forces hospital, P.O.Box. 14799, Makkah 21955, Saudi Arabia
  • Rawan Abu Mughli
  • Hanan I Hakami
  • Mohamad I Al-Faham

DOI:

https://doi.org/10.5489/cuaj.2669

Keywords:

Abscess, Brucella, Brucellosis, Orchiectomy, Testicular Diseases.

Abstract

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.

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Author Biographies

Sakher Tahaineh, Security forces hospital, P.O.Box. 14799, Makkah 21955, Saudi Arabia

department of urology

Rawan Abu Mughli

department of radiology

Hanan I Hakami

section of infectious diseases, department of medicine.

Mohamad I Al-Faham

department of radiology

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Published

2015-09-09

How to Cite

Tahaineh, S., Abu Mughli, R., Hakami, H. I., & Al-Faham, M. I. (2015). Conservative treatment for Brucella testicular abscesses: A case report and literature review. Canadian Urological Association Journal, 9(9-10), E679–82. https://doi.org/10.5489/cuaj.2669