A FIVE YEARS SURVEY OF BRUCELLA EPIDIDYMOORCHITIS IN QAEM SHAHR RAZI HOSPITAL & SARI IMAM KOMEINI HOSPITAL

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NAJAFI N.; GHASSEMIAN R.

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2003 | Volume:13 | Issue:40 Page(s): 94-100

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Title

A FIVE YEARS SURVEY OF BRUCELLA EPIDIDYMOORCHITIS IN QAEM SHAHR RAZI HOSPITAL & SARI IMAM KOMEINI HOSPITAL

Author(s)

NAJAFI N. | GHASSEMIAN R. | Issue Writer Certificate

Keywords

BRUCELLOSIS-EPIDIDYMOORCHITISQ3

Abstract

Background and purpose: Epididymoorchitis is a focal form of human Brucellosis, described in %2 - 20% of patients with Brucellosis.Materials and methods: In this retrospective study, we report 18 cases of Brucella epididymoorchitis in Qaem shahr Razi hospital and Sari Imam komeini hospital . between 1376 - 1380. Agglutination titres ≥ 1/160 and positive clinical manifestation, of Brucella epididymoorchitis were the main criteria of diagnosis.Results: Epididymoorchitis has occurred in 13.04% of the male patients with Brucellosis. mean mediam age of the patients was 27 years. (rangings from 14 to60). Pain and scrotal swelling (100%), fever (100%) and sweating (73%) were the most common symptoms. All patients had agglutination titers of > 1:160 (range, 1:160 - 1:2560) and 2ME (range, 1:80 - 1:640). Combined therapy was as follow: doxcyclin with rifampin (61.1) or doxycyclin plus rifampin along with aminoglycoside for the first two week, (27.7%) and doxyycyclin plus cotrimoxazole (5.5%) and doxycyclin aline ( in 5.05%).Treatment consisted of a combination of doxycyclin and Rifampin with aminoglycoside (for the first 2 weeks of therapy). (27.7%), trimethoprime-sulfamethoxazole with doxycycline (5.05%) or doxycyclin as monotherapy (5.05%). The minimal duration of therapy was 45 days. 88.8% of patients showed no improvement to antibiotics and required surgical drainage and orchiectomy.Conclusion: In Brucellosis endemic areas, clinicians encountering epidiymoorehitis should consider the likelihood of Brucellosis. A careful history of patients, a proper physical exame and a immediate laboratory evaluation help in diagnosis. Clinical and serological data are sufficient for diognosis. Generally, classical therapy of Brucellosis is adequate for the treatment of epididymoorchiti.

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APA: Copy

NAJAFI, N., & GHASSEMIAN, R.. (2003). A FIVE YEARS SURVEY OF BRUCELLA EPIDIDYMOORCHITIS IN QAEM SHAHR RAZI HOSPITAL & SARI IMAM KOMEINI HOSPITAL. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 13(40), 94-100. SID. https://sid.ir/paper/44689/en

Vancouver: Copy

NAJAFI N., GHASSEMIAN R.. A FIVE YEARS SURVEY OF BRUCELLA EPIDIDYMOORCHITIS IN QAEM SHAHR RAZI HOSPITAL & SARI IMAM KOMEINI HOSPITAL. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2003;13(40):94-100. Available from: https://sid.ir/paper/44689/en

IEEE: Copy

N. NAJAFI, and R. GHASSEMIAN, “A FIVE YEARS SURVEY OF BRUCELLA EPIDIDYMOORCHITIS IN QAEM SHAHR RAZI HOSPITAL & SARI IMAM KOMEINI HOSPITAL,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 13, no. 40, pp. 94–100, 2003, [Online]. Available: https://sid.ir/paper/44689/en

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