Yazarlar |
Prof. Dr. Mustafa Kasım KARAHOCAGİL
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Özet |
Aim: To discuss brucellar epididymo-orchitis cases in our clinic in terms of clinical and laboratory findings, treatment, and prognosis.Materials and methods: Our diagnostic criteria for the patients having epididymo-orchitis clinical findings are Standard Tube Agglutination (STA) or STA with Coombs test≥ 1/160 titer or increase of STA titers four times and more in their serum samples in two weeks.Results: Ten of our cases (66%) had herb cheese eating history and five of them (33%) were dealing with animal husbandry. The most frequently observed symptom in our cases was testicular pain, and the most frequent clinical and laboratory finding was scrotal swelling and the alteration of the C-reactive protein (CRP). The diagnosis was made with STA test in 14 cases (93%), STA with Coombs test in one case (7%). Epididymo-orchitis was diagnosed on the right side in nine cases, on the left in five cases and bilateral in one case on physical examination. The patients were treated with rifampicin+ doxycycline. Orchiectomy was done in one case who applied late to our clinic.Conclusion: Brucellar epididymo-orchitis should be thought first in patients applied with orchitis in brucellosis endemic regions, and should not be ignored in nonendemic regions also. It was shown that with early and appropriate medical treatment cases could be cured without surgery. |
Anahtar Kelimeler |
Makale Türü | Özgün Makale |
Makale Alt Türü | Uluslararası alan indekslerindeki dergilerde yayımlanan tam makale |
Dergi Adı | Van Medical Journal |
Dergi Tarandığı Indeksler | |
Makale Dili | İngilizce |
Basım Tarihi | 01-2010 |
Cilt No | 17 |
Sayfalar | 131 / 135 |