Brucella Epididymo-Orchitis Associated with Bilateral Segmental Renal Infarctions

Abstract

Most common genitourinary involvements of brucellosis include glomerulonephritis, pyelitis, abscess, prostatitis, and epididymo-orchitis. Sometimes the diagnosis of brucella epididymo-orchitis is a challenge because testicular malignancies have similar radiological and clinical findings. Also, various vascular involvements such as cerebral-pulmonary-splenic infarctions, aneurysms, fistula formations, and deep venous thrombosis were reported in the patients with especially cardiovascular brucellosis. But renal infarction due to brucellosis is extremely rare with only one case. In this report, we present the first case of brucella epididymo-orchitis associated with bilateral renal segmental infarction who well responded to brucellosis treatment.