OBJECTIVE: To emphasize the need to consider @entity281 in @entity1 presenting with acute scrotum of a possible inflammatory etiology, in endemic areas, as in some Spanish regions. The @entity733 forming type, although rare, should be considered. One such case is described herein and the literature briefly reviewed. METHODS: A male @entity1 consulted for subacute @entity32 and left @entity158 . He had systemic @entity3377 four months earlier that had completely remitted following specific therapy. The @entity1 had a physical examination, analytical, blood and urine analyses, specific serological tests and testicular ultrasound evaluation. RESULTS: Physical examination disclosed left @entity158 and @entity32 suggesting epididimo- @entity11570 . The laboratory findings were normal except for high titles against Brucella. Ultrasound disclosed diffuse enlargement of the left testis with several well-defined hypoechoic areas. The foregoing data suggested @entity733 forming @entity11570 , although a @entity5 could not be discarded. Empirical antibiotic therapy was instituted initially and specific therapy for Brucella was administered subsequently, but unilateral orchidectomy was decided because of the poor response to therapy. Histopathological analysis of the surgical specimen disclosed acute @entity733 forming epididimo- @entity11570 with multifocal chronic @entity738 . CONCLUSION: @entity11570 must be considered when making the differential diagnosis in acute inflammatory scrotum, particularly in endemic areas, even in the absence of suggestive clinical and/or US findings. @entity39 is a rare form of @entity281 which must be distinguished from @entity39 involvement arising from other pathogens ( @entity5746 ). Above all, this condition must be distinguished from a @entity5 .

[[Brucellar orchiepididymitis with XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity3377 :: ('MESH:D002006', 'Disease') :: ['brucellosis'] @entity738 :: ('MESH:D006099', 'Disease') :: ['granulomatous involvement'] @entity39 :: ('MESH:D009336', 'Disease') :: ['Necrotizing orchitis', 'necrotizing'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'neoplasm'] @entity11570 :: ('MESH:D009920', 'Disease') :: ['orchitis', 'Brucella epididimo-orchitis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['Brucella infection'] @entity733 :: ('MESH:D000038', 'Disease') :: ['abscess'] @entity5746 :: ('MESH:D012480', 'Disease') :: ['TB or Salmonella'] @entity158 :: ('MESH:D010146', 'Disease') :: ['testicular pain']
@entity733 :: (MESH:D000038,Disease) :: ['abscess']
