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Published 25 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1370]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual association of diseases/symptoms

Acute prostatitis as an uncommon presentation of brucellosis

Elif Hakko1, Melda Ozdamar2, Salih Turkoglu2, Semra Calangu3

1 Anadolu Medical Center, Infectious Diseases, Anadolu Cad. No. 1 Cayirova Mevkii, Gebze, Kocaeli, 41400, Turkey
2 Anadolu Medical Center, Microbiology, Anadolu Cad. No. 1 Cayirova Mevkii Gebze, Kocaeli, 41400, Turkey
3 Istanbul University Istanbul Medical Faculty, Infectious Diseases, Istanbul Universitesi Capa Tip Fakultesi, Istanbul, 34000, Turkey

Correspondence to:
Elif Hakko, ehakko{at}yahoo.com

SUMMARY

The present report concerns a 46-year-old man who presented with acute prostatitis due to Brucella melitensis infection. He was first treated with doxycycline and ciprofloxacin, but after 3 months he was admitted again with the same diagnosis. The relapse was probably related to ciprofloxacin use, or the length of treatment not being sufficient. The patient was successfully treated with a combination of doxycycline and rifampin for 3 months. In conclusion, prostatitis due to Brucella, such as spondylitis, meningoencephalitis and endocarditis, should be treated for longer courses.


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