Abstract

Dr. Nitin Madhav Kedare DNB, FRCR, EDiR.*, Dr. Rushikesh Ashok Naik DNB, FRCR, EDiR., Dr. Yoginee Pundlik Sonawane MD., Dr. Venkateshwar Reddy Kesireddy DNB, FRCR, EDiR

ABSTRACT

Brucellosis is an endemic zoonotic disease caused by Brucella, which are gramnegativecoccobacilli. It is endemic in the Arabian Peninsula and the Mediterraneanregion as well as in India and Central and South America.[1] B. abortus, B.melitensis, B. suis, B. ovis, B. canis, and B. neotomae are the most commonBrucella species. These bacteria infect various land and aquatic mammals,including pigs, cows, goats, sheep, dogs, dolphins, whales, seals, and desert grassrats. Humans are accidental hosts of Brucella species.[2] Brucellosis is transmitted tohumans via the consumption of infected animals (sheep, goat, and pig meat), directcontact with an infected animal, or via inhalation of infectious aerosols. The diseaseis frequently manifested by acute symptoms, such as pyrexia, night sweat,arthralgia, myalgia, low back pain, weight loss, fatigue, weakness, headache,dizziness, depression, and anorexia.[2,3] Chronic brucellosis can cause arthritis,orchitis, hepatitis, encephalomyelitis, and endocarditis.[2] Brucellosis is a multiorganinfectious disease and can result in genitourinary issues. The most commongenitourinary issues caused by human brucellosis are epididymo-orchitis,prostatitis, cystitis, interstitial nephritis, pyelonephritis, immunoglobulin Anephropathy, exudative glomerulonephritis, and kidney and testicular abscesses.[5]Brucella epididymo-orchitis is not a common clinical situation unless in an endemicarea. Herein, we report a patient with brucellosis presenting with epididymoorchitisinitially progressing to spondylodiscitis.