Acute prostatitis as the 1st symptom of brucellosis
Rosales Leal, J.é L.; Tallada Buñuel, M.; Espejo Maldonado, E.; Cózar Olmo, J.é M.; Vicente Prados, F.J.; Martínez Morcillo, A.; Buitrago Sivianes, S.; Rodríguez Herrera, F.; Ortiz Gorráiz, M.
Archivos Espanoles de Urologia 56(5): 527-529
2003
ISSN/ISBN: 0004-0614 PMID: 12918312 Document Number: 561963
To report a case of acute prostatitis as the first symptom of brucellosis. 43-year-old patient who presented with a clinical picture of acute prostatitis and a febrile syndrome for seven days. Physical exam, blood and urine analysis and microbiological tests, and specific serologic studies were performed. Microbiological diagnosis was negative for bacteria, but Bengala pink (+), antibrucella serum agglutination (+) 1/320, and anti-Brucella Coombs test (+) 1/5120. Specific treatment was started with doxycyclin 100 mg b.i.d for 45 days and streptomycin 1 gr o.d for 15 days, with a positive outcome. The genitourinary tract is the second most frequent localization, being the testicle the most frequently affected organ, although it can also be localized in other areas of the urinary tract.