ArticleUrology case reports2025
Brucella orchitis: A case report on a rare cause of scrotal abscess leading to orchiectomy.
Article in Urology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
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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