Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Brucellar epididymo-orchitis in Saudi Arabia: a retrospective study of 26 cases and review of the literature
Autore:
Memish, ZA; Venkatesh, S;
Indirizzi:
King Fahad Natl Guard Hosp, Dept Infect Prevent & Control, Riyadh, Saudi Arabia King Fahad Natl Guard Hosp Riyadh Saudi Arabia ol, Riyadh, Saudi Arabia
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 1, volume: 88, anno: 2001,
pagine: 72 - 76
SICI:
1464-4096(200107)88:1<72:BEISAA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
EPIDIDIMOORCHITIS; EPIDEMIOLOGY; COMPLICATION; DIAGNOSIS; FEATURES;
Keywords:
epididymo-orchitis; brucellosis; leucocytosis; agglutination; combination therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Memish, ZA Dept Infect Prevent & Control 2134, POB 22490, Riyadh 11426, Saudi Arabia Dept Infect Prevent & Control 2134 POB 22490 Riyadh Saudi Arabia 11426
Citazione:
Z.A. Memish e S. Venkatesh, "Brucellar epididymo-orchitis in Saudi Arabia: a retrospective study of 26 cases and review of the literature", BJU INT, 88(1), 2001, pp. 72-76

Abstract

Objective To review the clinical and laboratory features and response to treatment of patients with acute brucellar epididymo-orchitis reporting to atertiary care hospital in Riyadh, and to compare these with other cases reported previously. Patients and methods In this retrospective study, records of all 26 adult patients with brucellosis, who pre sented with epididymitis or epididymo-orchitis at a tertiary hospital in Riyadh from 1983 to 2000, were reviewed, Positive blood culture or high agglutination titres of greater than or equalto 1:320 and positive clinical manifestations of brucellosis were the maincriteria for diagnosing brucellosis. Among these cases, epididymitis or epididymo-orchitis was diagnosed on the basis of a typical history of gradualonset of scrotal pain and findings of enlarged tender testes and/or epididymis. Results Epididymo-orchitis occurred in 1.6% of all patients with brucellosis. Most (55%) were 25-44 years old: approximate to 77% of the patients presented with acute symptoms of <2 weeks' duration. AII patients complained of swollen painful testicles. Other presenting symptoms included undulant fever (96%), chills (54%) and arthralgia (23%). Four patients had dysuria andone haematuria. Ten patients gave a positive history of ingestion of raw mill and milk products; one patient had laboratory-acquired brucellosis. Sixpatients had unilateral epididymoorchitis (two with features of florid presentation): the remaining 20 had only orchitis (bilateral in two, right in 10 and left in eight). Leucocytosis was present in six patients; 25 had initial agglutination titres of >1:320 and the remaining patient had a positive blood culture. All patients received combined therapy with streptomycin for the first 2 weeks (or oral rifampicin for 6 weeks) with doxycycline or tetracycline for 6 weeks. All showed improvement fever subsided in 2-5 days and the scrotal enlargement and tenderness regressed, Only one patient had a relapse within one year. Conclusion In brucellosis-endemic areas. clinicians encountering epididymo-orchitis should consider the Iikelihood of brucellosis. A careful history,a meticulous physical examination and a rapid laboratory evaluation help in diagnosis. Clinical and serological data are sufficient for diagnosis. Leucocytosis is not an atypical feature of brucellar epididymo-orchitis and so cannot be used for differentiating it from the nonspecific variety. Conservative management with combination antibiotic therapy is adequate for managing brucellar epididymo-orchitis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/05/20 alle ore 16:59:26