Differentiation of Brucella-Induced Epididymo-orchitis from Nonspecific Epididymo-orchitis in an Endemic Area for Brucellosis

نویسندگان

  • Ali Eslamifar Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran
  • Amitis Ramezani Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran
  • Arezoo Aghakhani Clinical Research Department, Pasteur Institute of Iran, Tehran, Iran
  • Fatemeh Zolfaghari Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran
  • Hossein Sarmadian Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran
  • Masoomeh Sofian Tuberculosis and Pediatric Infectious Research Center, Arak University of Medical Sciences, Arak, Iran
  • Mohammad Banifazl Iranian Society for Support of Patients with Infectious Disease, Tehran, Iran
چکیده مقاله:

Distinction between brucellar epididymo-orchitis (BEO) and nonspecific epididymo-orchitis (EO) is an important medical issue. This study was conducted to compare demographic, clinical and laboratory features, treatment and outcome of patients with BEO and nonspecific EO in Arak city, Markazi Province, Iran. We compared the clinical and laboratory characteristics of 40 BEO and 40 non-specific EO patients. The diagnosis of brucellosis was based on the symptoms, compatible clinical findings and standard tube agglutination test. Epididymo-orchitis was diagnosed by swelling and tenderness of scrotal skin, testis and epididymis, which was confirmed by sonography. BEO can be distinguished from nonspecific EO based on having a history of living in rural areas, contact with domestic animals, and consumption of unpasteurized dairy products. Other criteria include seasonal pattern, gradual onset (P<0.05), sweating (P<0.001), arthralgia (P=0.02), associated lower urinary tract symptoms (P=0.004) and lower rate of leukocytosis and abnormal urine analysis (P=0.002). Our results showed that brucellosis should be considered as a cause of EO in endemic areas like Iran. Combination antibiotic therapy to manage BEO is usually effective and all patients in this study responded quite satisfactory to the treatment.

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differentiation of brucella-induced epididymo-orchitis from nonspecific epididymo-orchitis in an endemic area for brucellosis

distinction between brucellar epididymo-orchitis (beo) and nonspecific epididymo-orchitis (eo) is an important medical issue. this study was conducted to compare demographic, clinical and laboratory features, treatment and outcome of patients with beo and nonspecific eo in arak city, markazi province, iran. we compared the clinical and laboratory characteristics of 40 beo and 40 non-specific eo...

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مقایسه‌ی ویژگی‌های اپیدمیولوژیک، علایم بالینی و آزمایشگاهی اپیدیدیموارکیت بروسلایی با دیگر علل اپیدیدیموارکیت باکتریال

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عنوان ژورنال

دوره 1  شماره 1

صفحات  8- 13

تاریخ انتشار 2013-11

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