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Volume 26, Issue 1

Case Report

Brucella Orchitis Confused with Testicular Tumor

Uğur Kostakoğlu
Affiliations
  • Kanuni Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Trabzon, Türkiye
,
Uğur Öztürk
Affiliations
  • Kanuni Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Trabzon, Türkiye
,
Mehmet Nuri Durgun
Affiliations
  • Kanuni Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Trabzon, Türkiye
,
Beyhan Mollamehmetoğlu
Affiliations
  • Kanuni Eğitim ve Araştırma Hastanesi, Tıbbi Patoloji Laboratuvarı, Trabzon, Türkiye
  • Brocellosis
  • neoplasms
  • orchitis
  • testis

Abstract

Genitourinary involvement is observed in approximately 2-20% of brucellosis cases and epididymo-orchitis is the most common form. It may imitate a tumor by causing a painless mass. A 20-year-old male was admitted to the hospital with a history of a painless testicular mass for one month. Scrotal Doppler ultrasonography revealed a nodular lesion in the right testis with indistinct margins, not completely distinguishable from tumor. Testicular tumor could not be excluded by radical inguinal orchiectomy. Non-necrotizing granulomatous orchitis was reported following a wide-range of histochemical investigation for differential diagnosis of lymphoma. After a Brucella tube agglutination test was found positive at 1/640 titer, a combination of doxycycline and rifampin was started. Brucellosis should be taken into consideration in differential diagnosis of nonspecific granulomatous orchitis in endemic regions, and particularly in cases in which a painless testicular mass with negative tumor markers is identified. 

  • 34-36
  • 10.5152/kd.2013.09
  • July 23, 2019
  • 2182
  • 752
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  • This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. CC BY-NC
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