Brucella and non-Brucella epididymo-orchitis: comparison of ultrasound findings

In brucellosis the male genitourinary system can be affected in a small number of patients. In this study we aimed to identify, discuss and compare the radiologic findings of 24 cases with Brucella epididymo-orchitis (BEO) and 285 cases with non-Brucella epididymis orchitis (NBEO). The study had a r...

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Veröffentlicht in:Medical ultrasonography 2019-08, Vol.21 (3), p.246-250
Hauptverfasser: Baykan, Ali Haydar, Sayiner, Hakan Sezgin, Inan, Ibrahim
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Sayiner, Hakan Sezgin
Inan, Ibrahim
description In brucellosis the male genitourinary system can be affected in a small number of patients. In this study we aimed to identify, discuss and compare the radiologic findings of 24 cases with Brucella epididymo-orchitis (BEO) and 285 cases with non-Brucella epididymis orchitis (NBEO). The study had a retrospective design. The area of involvement, side of involvement (left, right or bilateral), presence of abscess, hydrocele and testicular involvement pattern were analyzed and compared between the BEO and NBEO cases. The median age of the included cases was 33 years, with a minimum of 0 and maximum of 89. Epididymo-orchitis and isolated orchitis were more frequent in BEO cases while isolated epididymis involvement was more common in patients with non-BEO (p=0.0117). Bilateral involvement was present in 20.8% and 4.6% cases in the BEO and non-BEO groups, respectively (p=0.008). The frequency of abscess was significantly higher in BEO cases (p=0.003). Although the radiological indications of BEO are similar to those of other types of epididymo-orchitis, abscess formation, bilateral involvement and testicular involvement contribute significantly to diagnosis.
doi_str_mv 10.11152/mu-1871
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subjects Adolescent
Adult
Age
Aged
Aged, 80 and over
Brucella
Brucellosis
Brucellosis - diagnostic imaging
Child
Child, Preschool
Dairy products
Epididymis - diagnostic imaging
Epididymis - microbiology
Epididymitis - diagnostic imaging
Epididymitis - microbiology
Humans
Infant
Magnetic resonance imaging
Male
Middle Aged
Milk
Orchitis - diagnostic imaging
Orchitis - microbiology
Retrospective Studies
Statistical analysis
Studies
Testis - diagnostic imaging
Testis - microbiology
Ultrasonic imaging
Ultrasonography - methods
Urogenital system
Young Adult
title Brucella and non-Brucella epididymo-orchitis: comparison of ultrasound findings
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