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Rare disease
CASE REPORT
Acute epididymo-orchitis from brucellosis melitensis in Australia
  1. Christopher Chi Kit Ip,
  2. Khrisna Tumali,
  3. Ivan M Hoh and
  4. Arun Arunasalam
  1. Department of Urology, Western Health, Footscray, Victoria, Australia
  1. Correspondence to Dr Christopher Chi Kit Ip, chris.c.k.ip{at}gmail.com

Abstract

Brucellosis epididymo-orchitis (BEO) is extremely rare in non-endemic areas such as Australia. While epididymo-orchitis is relatively common in adolescent men, when presented with a significant travel history, consideration should be given to rare causes such as this. Here, we present a case of BEO in a young 18-year-old man who recently migrated from Greece, with symptoms of acute scrotal pain, swelling and persistent fever. Brucella melitensis was isolated in the blood culture and confirmed with PCR. We suspect transmission was related to ingestion of unpasteurised goat dairy products. He made a full recovery after 7 days of intravenous gentamicin and 6 weeks of oral doxycycline. BEO should be considered in those who present with acute scrotal pain and fever after a recent history of travel to or from a brucellosis- endemic area.

  • infectious diseases
  • urology
  • ultrasonography
  • urological surgery
  • infections

https://doi.org/10.1136/bcr-2019-230007

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    Footnotes

    • Contributors KT and CCKI were involved in gathering data for this manuscript. CCKI wrote the manuscript. KT gathered patient consent. This was supervised by IMH and AA. All authors contributed to the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Next of kin consent obtained.