Brucellar terminal ileitis and epididymo-orchitis in an adolescent; case report and review of the literature.

Melahat Melek Oguz,Fatma Zehra Oztek-Celebi

doi:10.3855/jidc.10429

Abstract

Although brucellosis is a multi-systemic illness, terminal ileitis or colitis due to brucellosis is reported anecdotal in literature. Genitourinary manifestations of Brucella, namely epididymo-orchitis is very rare in childhood brucellosis. Herein, we present a case of brucellosis in a child with a rare combination of terminal ileitis and epididymo-orchitis not reported previously in the literature.

Highlights

Brucellosis is an important endemic zoonotic disease, which may cause a wide spectrum of clinical symptoms in humans, from a mild flu-like illness to systemic manifestations [1]
Brucella epididymo-orchitis may be seen with a rate of 2-20% in human brucellosis
We report a rare case of a 17-year-old male patient who presented with acute abdomen clinic and diagnosed with brucellar terminal ileitis and subsequently with brucellar epididymo-orchitis

Summary

Introduction

Brucellosis is an important endemic zoonotic disease, which may cause a wide spectrum of clinical symptoms in humans, from a mild flu-like illness to systemic manifestations [1]. Since he was appeared toxic and had strong tenderness and rebound on the lower right quadrant in abdomen examination, an abdominal ultrasonography was performed in order to investigate the cause of the abdominal pain. Stool microscopy was obtained and found negative for parasites, erythrocytes and leucocytes Because he had the history of consuming cheese from unpasteurized milk, Brucella agglutination test and Brucella serology were performed. The patient was started on oral doxycycline 100 mg, riphampicyn 300 mg twice daily for 6 weeks His complaints were significantly regressed on the 3rd day of treatment, while symptoms of scrotal swelling and abdominal pain disappeared on the 10th day. Priory planned colonoscopy was not performed because of the positive Brucella serology and improved clinic of the patient with the treatment

Findings

Discussion

Conclusion