Ömer COŞKUN, Hanefi Cem GÜL, Gürkan MERT, Bülent Ahmet BEŞİRBELLİOĞLU, Ahmet ERDEM, Canpolat EYİGÜN

Brucellar epididymo-orchitis: A retrospective study

Amaç: Epididimo-orşit brusellozlu hastaların %2-20'sinde tanımlanan insan brusellozunun fokal bir formudur. Hastalar ve Yöntemler: Bu çalışmada, brusellozlu 190 erişkin erkek hastanın (ort. yaş 27.5; dağılım 17-71) kayıtları retrospektif olarak incelendi. On hastada epididimo-orşit saptandı. Bu olgulara, yavaş yavaş ortaya çıkan skrotal ağrı öyküsü, testiste ve/veya epididimde hassasiyet ve büyüme gibi hastalığa ait tipik belirtilere dayanarak göre epididimit veya epididimo-orşit tanısı kondu. Bulgular: En yaygın görülen semptomlar ateş, skrotal ağrı ve şişlik idi (%100). Sekiz hastada (%80) epididimo-orşitten başka farklı fokal hastalıklar da saptandı. Epididimo-orşit, hastaların hepsinde tek taraflı idi. Bir hastada testiküler abse saptandı. Kombine antibiyotik tedavisi başlandı ve 6-8 hafta süreyle kullanıldı. Hastaların birinde (%10) orşektomiye ihtiyaç duyuldu. Alınan örnekte granülomatöz orşit saptandı. Hiçbir hastada relaps gözlenmedi. Sonuç: Bruselloz endemik olan bölgelerde görülen skrotal hastalıkların tanısında akılda bulundurulmalıdır. Tanıda klinik ve serolojik veriler yeterlidir. Antibiyotik tedavi ile birlikte yapılan konservatif tedavi brusella epididimo-orşitinin tedavisi için yeterlidir.

Anahtar Kelimeler:

Bruselloz, Orşit, Geriyedönük çalışma, Ağrı, Skrotum

Brusella epididimo-orşiti: Retrospektif çalışma

Objectives: Epididymo-orchitis is a focal form of human brucellosis described in 2-20% of patients with brucellosis. Patients and Methods: In this retrospective study, the records of 190 adult male patients (mean age 27.5 years; range 17 to 71 years) with brucellosis were evaluated. Ten of these cases presented with epididymo-orchitis. Among these cases, epididymitis or epididymo-orchitis were diagnosed on the basis of a typical history of gradual onset of scrotal pain and findings of enlarged tender testes and/or epididymis. Results: The most common symptoms were fever, scrotal pain, and swelling (100%). There were different focal Brucellar involvements other than the epididymo-orchitis in eight patients (80%). All of the patients had unilateral epididymo-orchitis. A testicular abscess was detected in one patient. Combined antibiotic therapy was started and continued for 6-8 weeks. Orchiectomy was required for one patient (10%) and granulomatous orchitis was detected in the resected specimens. Relapse was not observed in any patient. Conclusion: Brucellosis should be considered in the diagnosis of scrotal diseases in endemic areas. Clinical and serological data are sufficient for the diagnosis. Conservative management combined with antibiotic therapy is adequate for managing brucellar epididymo-orchitis.

Keywords:

Brucellosis, Orchitis, Retrospective Studies, Pain, Scrotum,

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