Ateş ve skrotal tutulumla giden bir adölesan bruselloz olgusu

Abstract

Background: Brucella, a zoonosis that can cause various clinical findings with multisystemic involvement. Also known as Mediterranean fever, this disease most commonly involves the bone-joint system, as well as causing cardiovascular, pulmonary, neurological, intraabdominal and genitourinary complications. It is known that it causes an epididymo-orchitis in a rate of 2-20% in adult age group. Here, an adolescent case with scrotal involvement is presented. Case Presentation Summary: A 17 years old male patient applied to a health center with weakness for two months, weight loss and ongoing fever that started a week ago.In the scrotal imaging performed with suspicion of malignancy, millimeter multifocal hypoechoic nodular infiltrations were detected. The patient was guided by the diagnosis of lymphoma due to the thoracic and abdominal imaging. Hepatosplenomegaly and pancytopenia detected on physical examination and complet blood count, respectively. Serum samples were also sent for Brucella along with viral serologies from the patient who lives in the Eastern Anatolia Region, in Turkey and is ranching. Also, Brucella culture was sent from bone marrow aspiration sample for malignancy exclusion.While other viral serologies of the patient were negative, both Rose-Bengal test, Wright’s test and Brucella culture were positive.After the appropriate antimicrobial treatment started, full response was obtained clinically, laboratory and radiologically. Learning Points/Discussion: Although the place of brucellosis in epididymo-orchitis is more common in adults, it is very rare in the child age group even endemic regions like our country. It is possible to treat this disease, which can result in severe morbidity and mortality due to multiple organ involvement. It should definitely come to mind in the presence of fever, pancytopenia and organomegaly with scrotal involvement.