Abstract
BackgroundInfection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences. After introduction of antibiotic-coated implants, the rate of infection has dramatically decreased, but still we see uncommon organisms causing infection. We present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. To our knowledge, this is the first reported case of brucellosis penile prosthesis infection.Case presentationWe present a first case report of penile prosthesis infection by brucellosis due to raw milk ingestion. A 75-year-old, diabetic male patient presented with penile prosthesis infection 5 months post-penile exchange surgery due to mechanical malfunctioning of 2-piece penile prosthesis which was inserted 11 years ago. The initial treatment with broad spectrum antibiotics did not subside the infection. After diagnosis of brucellosis, the antibiotic was changed to anti-brucellosis (Rifampicin + Tetracycline). The patient improved dramatically and was discharged home with smooth follow-up course.ConclusionBrucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating surgical intervention and removal of prosthesis.
Highlights
Infection after the penile prosthesis can be devastating to both the patient and surgeon with various complications and consequences
We still see infection with rare organism that will cause devastating result on the corporal tissue that necessities removal of implant and fibrosis of the corpora that will result in complicating the replacement surgery
We present a first case repot of delay infection of prosthesis with Brucella organism that was successfully treated with Brucella-sensitive antibiotics without the need of removing of the prosthesis
Summary
Brucellosis can cause infection of penile prosthesis and can be treated with anti-brucellosis antibiotics without necessitating of surgical intervention and removal of prosthesis.
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