■布鲁氏菌病是世界上最普遍的人畜共患病之一,在蒂尔基耶流行。它是一种多系统感染,可以影响各种器官系统。附睾-睾丸炎是泌尿生殖系统受累的最常见形式。本研究旨在评估发病率,临床特征,实验室值,以及东安纳托利亚地区布鲁杆菌附睾睾丸炎(BEO)的治疗结果,布鲁氏菌病是高流行的。
■这项研究是在2018年1月1日至2019年4月30日之间进行的。所有在传染病诊所诊断为布氏杆菌病的男性患者均根据临床表现(睾丸疼痛,肿胀,红斑)。此外,为了识别BEO患者,根据研究方案,泌尿外科门诊收治的所有附睾-睾丸炎病例均因布鲁氏菌感染转诊至传染病门诊.前瞻性招募患者,并对数据进行回顾性分析。
■在研究期间,326名患者被诊断出布鲁氏菌感染,其中208人(63.8%)为男性。在16个月结束时,有18例患者被诊断出布鲁氏菌附睾-睾丸炎。布鲁氏菌感染患者的附睾睾丸炎发生率为8.7%。患者的平均年龄为36.9±11.5岁。大多数患者有职业性动物接触(83.3%)和食用由生牛奶制成的新鲜奶酪(55.5%)。17例(94.4%)患者诊断为急性布鲁氏菌病;所有患者均表现为阴囊疼痛和肿胀。在16例(88.8%)患者中观察到单侧附睾睾丸炎。大部分病人(百分之八十八点三)在传染病以外的门诊就诊,尤其是泌尿外科诊所(77.7%)。给予患者氨基糖苷/多西环素/利福平双重或三重联合治疗。对三名患者进行了子宫内膜切除术,一名患者的睾丸切除术,在一名患者中发现复发。
■在流行地区出现附睾-睾丸炎的患者应考虑布鲁氏菌感染。泌尿科医师对布鲁氏菌病的认识将确保该疾病被诊断为无并发症。
UNASSIGNED: Brucellosis is one of the most prevalent zoonoses worldwide and is endemic in Türkiye. It is a multisystemic infection that can affect various organ systems. Epididymo-orchitis is the most common form of genitourinary involvement. This study aimed to evaluate the incidence, clinical characteristics, laboratory values, and treatment outcomes of brucellar epididymo-orchitis (BEO) in the East Anatolian region, where brucellosis is hyperendemic.
UNASSIGNED: This study was conducted between January 1, 2018, and April 30, 2019. All male patients diagnosed with brucellosis at the infectious disease clinic were evaluated for epididymo-orchitis according to clinical findings (testicular pain, swelling, erythema). In addition, to identify BEO patients, all epididymo-orchitis cases admitted to the urology outpatient clinic according to the study protocol were referred to the infectious diseases clinic for Brucella infection. Patients were enrolled prospectively, and data were analyzed retrospectively.
UNASSIGNED: Brucella infection was diagnosed in 326 patients during the study period, of whom 208 (63.8%) were male. Brucellar epididymo-orchitis was diagnosed in 18 patients at the end of sixteen months. The incidence of epididymo-orchitis in patients with Brucella infection was 8.7%. The mean age of the patients was 36.9±11.5 years. The majority of patients had occupational animal contact (83.3%) and consumption of fresh cheese made from raw milk (55.5%). Acute brucellosis was diagnosed in 17 (94.4%) patients; all patients presented with scrotal pain and swelling. Unilateral epididymo-orchitis was observed in 16 (88.8%) patients. Most patients (88.3%) applied to outpatient clinics other than infectious diseases, especially the urology clinic (77.7%).Double or triple combined treatments with aminoglycoside/doxycycline/rifampicin were given to the patients. Hydrocelectomy was performed in three patients, orchiectomy in one patient, and relapse was seen in one patient.
UNASSIGNED: Brucella infection should be considered in patients presenting with epididymo-orchitis in endemic regions. Awareness of brucellosis by urologists will ensure that the disease is diagnosed without complications.