Brucella Epididymo-Orchitis: An Evaluation of Eight Cases
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2014
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info:eu-repo/semantics/openAccess
Özet
Abstract:Amaç: Bu çalışmada, bruselloza bağlı tek taraflı gelişen epididimoorşit olgularının klinik özellikleri ve tedavi sonuçlarının irdelenmesi amaçlanmıştır. Gereç ve Yöntemler: Muş Devlet Hastanesinde 15 ay boyunca Üroloji ve Enfeksiyon Hastalıkları klinikleri tarafından tanı konulan 8 brusella epididimoorşit olgusu çalışmaya alındı. Hasta bilgileri, klinik ve laboratuvar verileri, tedavi protokolleri ve uygulanmış tedavi sonuçları incelendi. Hastalar bir yıl boyunca takip edildi. Elde edilen verilerin istatistiksel analizleri yapıldı. Bulgular: Hastaların yaş ortalaması 46,12 (20-58) yıl idi. Beş hastada sol, üç hastada ise sağ testiste tutulum saptandı. Hastaların hepsi akut gelişen skrotal ödem ve ağrı şikayeti ile başvurmuştu. Altı (%75) hastada sistemik ateş bulgusu olup iki hastanın kan kültüründe Brucella spp. üremesi saptandı. Tüm hastalarda Wright aglütünasyon testi pozitif bulundu. Doppler USG incelemesinde iki hastada ependim kisti ve bir hastada da testiküler abse formasyonu saptandı. Hastalara 21 gün süreyle streptomisin 1gr/gün ve 6 hafta boyunca tetrasiklin 2x100mg ve rifampisin 600mg dozunda tedavi verildi. Bir olguda tedaviye uyum sorunundan dolayı relaps gelişti. Tüm hastalar verilen medikal tedavi başarılı oldu. Hiçbir hastada brusellaya bağlı komplikasyon gelişmedi ve cerrahi tedaviye gereksinim duyulmadı. Sonuç: Brusellanın endemik olduğu bölgelerde akut gelişen skrotal ağrı ve şişlik ile başvuran hastalarda brusella epididimoorşiti ayırıcı tanıda düşünülmelidir. Doğru tanının erkenden konulması istenmeyen cerrahi girişimleri ve oluşabilecek infertilite gibi komplikasyonları önleyebilecektir.
Abstract:Aim: In this study, clinical properties and treatment outcomes of 8 patients with unilateral epididymo-orchitis are evaluated. Material and Methods: A total of 8 cases were diagnosed with brucella induced epididymo-orchitis at the Urology and Infectious Diseases Clinics of Mus State Hospital within a period of 15 months. All related demographic data, clinical and laboratory findings, treatment progress and outcomes of these patients were evaluated, and the patients were followed for one year. The results obtained were statistically evaluated. Results: The mean age of the patients was 46.12 years (ranging between 20 and 58 years). The infection involvement was in the left side in five patients and in the right in three patients. All patients had applied to practitioners with acutely developing scrotal edema and pain. Systemic fever was detected in 6 (%75) patients, and Brucella spp. developed in the blood cultures of two patients. Wright agglutination test was positive in all cases. The Doppler USG examination conducted displayed ependymal cyst in two patients and testicular abscess in one. All 8 patients received antimicrobial treatment of streptomycine 1g/day for 21 days, and tetracycline 2x100mg and rifampisin 600mg/day for 6 weeks. One of the patients developed relapse due to low adherence to the treatment. Conclusion: In the endemic areas, brucella epididymo-orchitis must be considered in the possible diagnosis of the patients who apply with acutely developing scrotal pain and edema. Early diagnosis will prevent unwanted surgical interventions and complications such as infertility.
Abstract:Aim: In this study, clinical properties and treatment outcomes of 8 patients with unilateral epididymo-orchitis are evaluated. Material and Methods: A total of 8 cases were diagnosed with brucella induced epididymo-orchitis at the Urology and Infectious Diseases Clinics of Mus State Hospital within a period of 15 months. All related demographic data, clinical and laboratory findings, treatment progress and outcomes of these patients were evaluated, and the patients were followed for one year. The results obtained were statistically evaluated. Results: The mean age of the patients was 46.12 years (ranging between 20 and 58 years). The infection involvement was in the left side in five patients and in the right in three patients. All patients had applied to practitioners with acutely developing scrotal edema and pain. Systemic fever was detected in 6 (%75) patients, and Brucella spp. developed in the blood cultures of two patients. Wright agglutination test was positive in all cases. The Doppler USG examination conducted displayed ependymal cyst in two patients and testicular abscess in one. All 8 patients received antimicrobial treatment of streptomycine 1g/day for 21 days, and tetracycline 2x100mg and rifampisin 600mg/day for 6 weeks. One of the patients developed relapse due to low adherence to the treatment. Conclusion: In the endemic areas, brucella epididymo-orchitis must be considered in the possible diagnosis of the patients who apply with acutely developing scrotal pain and edema. Early diagnosis will prevent unwanted surgical interventions and complications such as infertility.
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İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi
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KÖSE A,AKDEMİR E,BÜYÜKTUNA S. A (2014). Brucella Epididymo-Orchitis: An Evaluation of Eight Cases. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 21(4), 254 - 258.
